Class II div 1
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Pre-restorative

Distalization

,

Mesialization

,

Leveling curve of Spee

,

Proclination

,

IPR

,

Restorative

,

Implants

Courtesy of Dr C. Carvalho, 2021

Treatment Summary

Patient Information

Age: 27
Gender: female
Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

15 months

Number of aligners

Maxillary: 33 + 13 = 46
Mandibulary: 33 + 13 = 46

Aligner Wear time

10 days

Retention

Maxillary: Fixed/Bonded
Mandibular: Fixed/Bonded

Results achieved

Class I relationship achieved
Functional canine guidance on both sides
Midlines coincident
Curve of Spee leveled
Arches aligned and coordinated
Arch form improved
Aesthetic smile line was achieved
All treatment goals were achieved case
Harmonic arches were achieved

Comments

We decided to extract 3.8 and distalize 3.7 and 3.6 . I needed the space to get a correct distalization
I did IPR in lower incisors to correct the lower midline to the right
I managed to correct and realize the space for implant and correct the midline throwing the teeth forward
I mesialialized the teeth 3.3, 3.4 and 3.5 and distalized 3.7 and 3.6