Class II div 2
,
Posterior crossbite
,
Anterior crossbite
,
Narrow arches
,
Crowding
,
Rotations
,
Impacted canines

Distalization
,
Expansion
,
Proclination
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr L. Chen, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 51 + 36 = 87
  • Mandibulary: 23 + 14 = 37

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case

Comments

  • Distalize the upper molar to achieve space.
  • Procline the upper incisors to correct anterior crossbite.
  • Expand the upper arch to achieve space and correct posterior crossbite

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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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