Class II div 1
,
Increased overjet
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations

Distalization
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Elastics: Class II
Courtesy of Dr. J. Andres Montoya Sierra  , 2021
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 9 months

Number of aligners

  • Maxillary: 37
  • Mandibulary: 37

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • For the correction of class II, a combination of sequential distalization, class II intermaxillary elastics, and IPR was used.
  • For the correction of the anterior open bite, intrusion was used in the posterior zone and the excellent use of the anterior extrusion through the optimized extrusion attachments.
  • For increased overjet, a combination of anterior-inferior proclination with anterior superior retraction.
  • For crowding: expansion and IPR.
  • All goals achieved in a single set of aligners with weekly changes

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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