Class II div 2
,
Deep bite
,
Narrow arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
IPR
Courtesy of Dr L. Rotta, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 36 + 20 = 56
  • Mandibulary: 36 + 20 = 56

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Hawley
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • We achieved this result, with sequential expansion and distalization of the upper arch.
  • Controlling the root torque of the upper incisors.
  • To improve the Spee curve, posterior teeth were extruded and mandibular incisors were intruded, as well as expansion of the lower arch.

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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