Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
IPR
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr J. Lozano, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 26 months

Number of aligners

  • Maxillary: 51 + 33 + 23 = 107
  • Mandibulary: 51 + 33 + 23 = 107

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Midlines coincident
  • Arch form improved
  • Aesthetic smile line was achieved 

Comments

  • We decided to first retrude the anterior segment using space between 13 and 14.
  • When it was closed, we started sequential distalization with a final hypercorrection of the midline shift.

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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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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