Class II div 1
,
Posterior crossbite
,
Increased overjet
,
Deep bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Crowding

Distalization
,
Mesialization
,
Intrusion
,
Retraction
,
First premolar extraction
,
IPR
,
Space Closure
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Extraction
Courtesy of Dr P. Nguyen, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 23 months

Number of aligners

  • Maxillary: 69 + 26 = 95
  • Mandibulary: 69 + 26 = 95

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • We planned to extract 3 teeth including 1.4, 3.4 and 4.4
  •  Maximum anchorage of upper right molars.
  • Sequential distalization of upper left molars.
  • Moderate anchorage of lower teeth.
  • Class II elastics were used to provide anchorage for upper arch and closing lower arch.
  • Intrusion of upper and lower incisors to decrease deep bite.
  • The patient was very satisfied with the result.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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