Class II div 1
,
Deep bite
,
Asymmetric arches
,
Crowding
,
Rotations
,
Diastema

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Space Closure
,
Elastics: Class II in Additional Aligners
Courtesy of Dr V. Aranguibel Newman, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 44
  • Gender: female
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 9 months

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Leveling Spee curve.
  • Anterior Lower intrusion.
  • Premolar expansion.
  • Desrotation.
  • Lower anterior Interproximal reduction.
  • Oval arch form.
  • Class II elastics in additional aligners for achieving canine class I.
  • Optimized root control attachments for verticalizing upper central incisors.

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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