Class II div 2
,
Narrow arches
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Expansion
,
Elastics: Class II
Courtesy of Dr M. Trindade, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 55
  • Mandibulary: 55

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 
  • Harmonic arches were achieved

Comments

  • Superior sequential distalization was performed along with arch expansion.
  • Intermaxillary elastic was planned with Class II mechanics by means of button cut out in teeth 3.6 and 4.6 and precision cut in teeth 1.3 and 2.3.
  • Initially the aligners were changed every 10 days. At the end of the treatment, the exchange was requested every 7 days.
  • No additional aligners were used

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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