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 Treatment 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

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