Class II div 2
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
TADs
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr B. Guk Kim, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Number of aligners

  • Maxillary: 72
  • Mandibulary: 14

Aligner Wear time

  • 1 week~10days

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
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 
  • Harmonic arches were achieved

Comments

  • Class I canine and molar relationships were achieved by using Class II elastics and TADs.
  • The deep bite was improved by using optimized attachments and precision bite ramps.
  • Additional lingual root torque (about 7 degrees) helped get a desirable inclination of upper incisors.
  • The patient was instructed to use the Aligner Chewies every day to ensure that every aligner would fit properly, and she showed excellent compliance.

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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