Class II div 2
,
Deep bite
,
Narrow arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr R. Almada, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Number of aligners

  • Maxillary: 57 + 22 = 79
  • Mandibulary: 57 + 22 = 79

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • In this treatment, we corrected the left Class 2 and the midline simultaneously, using a Class 2 elastic.
  • The correction of the deep bite occurred through anterior intrusion, expansion of the arches, vestibularization of the upper and lower incisors.
  • IPR was performed to correct dental crowding.

Images

Initial and final

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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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