Class II div 2
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Mandibular advancement
,
Distalization
,
Expansion
,
IPR
,
Elastics: Class II in Additional Aligners
Courtesy of Dr J. Lozano, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 16
  • Gender: male
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 21 months

Number of aligners

  • Maxillary: 30 + 36 + 7 = 73
  • Mandibulary: 30 + 36 + 7 = 73

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • 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 planned initial mandibular advancement to take advantage of patient growth spur and achieved a more aesthetic profile and airways improvement.
  • Overjet was created thanks to the upper incisor's proclination.
  • Simultaneously created an opening for 1-3 and 2-3, which were initially in a high position.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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