Class II div 2, Mandibular retrognathia, Deep bite, Midline shift, Rotations, Impacted canines, Spacing
Mandibular advancement
, Distalization
, Leveling Curve of Spee
, Extrusion
, Intrusion
, Expansion
, Retraction
, Proclination
, Other extraction
, Space Closure
, Elastics: Class II in Additional Aligners
Courtesy of Dr V. Dhanjani,
2021
Treatment Summary
Patient Information
- Age: 12
- Gender: female
- Invisalign Submission Option: Invisalign Teen with MA
Total Treatment Time
- 29 months
Number of aligners
- Maxillary: 32 + 33 = 65
- Mandibulary: 32 + 33 = 65
Aligner Wear time
- 2-weeks
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
- Significant improvement of overbite
- Significant improvement of overjet
- 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
- Mandibular deficiency improved by Mandibular Advancement Feature in the initial phase.
- Root divergence in 2.3 region created to allow 2.3 eruption.
- Correction of Curve of Spee and posterior extrusion, anterior intrusion, and distalization done with additional aligners along with class 2 elastic wear.
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