Class II div 1
,
Increased overjet
,
Deep bite
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Intrusion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr C. Carvalho, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 20 + 14 + 15 = 49
  • Mandibulary: 29 + 17 + 21 = 67

Aligner Wear time

  • 10 days

Retention

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

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • All treatment goals were achieved case

Comments

  • My strategy was to use the existing space in the 2.3 distal to correct class II.
  • Insert anterior upper IPR for retraction and reduction of the overjet.
  • Lower anterior intrusion and leveling of the spee curve

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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