Class II div 2
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Elastics: Class II
Courtesy of Dr D. Sun, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 22
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 27 months

Number of aligners

  • Maxillary: 61 + 28 + 20 = 109
  • Mandibulary: 61 + 28 + 20 = 109

Aligner Wear time

  • 10 day

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • 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

Comments

  • Developing canine and molar Class I relationship in early treatment via upper molar distalization with Class II elastic improved patient’s masticatory function and temporomandibular joint issue.
  • Simultaneously upper anterior root torque control with intrusion and upper molar distalization improved the relationship between lips and teeth.
  • The gummy smile was fully corrected.
  • The patient was satisfied with the outcome.

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

Initial Final
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