Class II div 1
,
Posterior crossbite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Expansion
,
IPR
,
Elastics: Class II
Courtesy of Dr L. De la Torre, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 27 + 18 = 45
  • Mandibulary: 24 + 15 = 39

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • 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

  • In this case, we just used an optimized attachment to reach the results.
  • We combined with elastics to Class II and some IPR to adjust the alignment of anterior teeth.
  • Patient used chewies all the time

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

Inital Final
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