Class II div 1
,
Increased overjet
,
Deep bite

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
,
Overtreatment
,
Elastics: Class II
Courtesy of Dr P. Srivicharnkul, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Number of aligners

  • Maxillary: 69 + 18 = 87
  • Mandibulary: 69 + 18 = 87

Aligner Wear time

  • Start with 14 days and followed by 10, 7 days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

The patient has not had any orthodontic treatment in the past due to a very difficult fixed appliance approach.
With Invisalign, the patient could have his severe deep bite corrected in a comfortable way of treatment.

These three factors made this case successful:
1. Proper Diagnosis and treatment plan
2. Well CC set up with attachment design, TSD, and staging consideration
3. Excellent patient compliance

Images

Initial and final

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lower
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front
left
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front
left

Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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