Class II div 2
,
Increased overjet
,
Maxillary midline deviation
,
Crowding

Leveling Curve of Spee
,
Retraction
,
Elastics: Class II
Courtesy of Dr M. Huang, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 66 + 24 + 28 = 118
  • Mandibulary: 35 + 16 + 7 = 58

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

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

Comments

  • The purpose was to use a removable bite ramp before the Invisalign treatment.
  • The overbite and overjet improved.
  • Finally, we used aligners to retract the upper molars to level the teeth and level the Spee curve.

Images

Initial and final

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upper
lower
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front
left
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upper
lower
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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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