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

Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
Proclination
,
Elastics: Class II
Courtesy of Dr G. Vianna, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 52
  • Mandibulary: 48

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

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
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Class I molar and canines relationship achieved by distalization mechanics in upper arch and mesialization in lower arch.
  • Normal overjet and overbite achieved.
  • Corrected the lower Spee curve with lower anterior intrusion and lower posterior extrusion.
  • Extrusion of lower bicuspids and intrusion of the upper and lower incisors improved the inclination of the upper and lower incisors.
  • The arches were aligned and coordinated.

Images

Initial and final

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upper
lower
right
front
left
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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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