Class II div 2
,
Deep bite
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Proclination
,
IPR
,
Elastics: Class II
Courtesy of Dr N. Wongsukkasem, 2021
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 52 + 12 = 64
  • Mandibulary: 52 + 16 = 68

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 

Comments

  • Sequential distalize upper arch with class II elastic to correct class I molar and canine.
  • The space for 1.2 was created before moving # 1.2, this made it easier to align # 1.2.
  • Procline upper and lower anterior to achieve normal overjet and overbite.

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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