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 Treatment 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

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged316
Click to compare enlarged310