Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Elastics: Class II
Courtesy of Dr T. Thanvarachorn, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 36 months

Number of aligners

  • Maxillary: 34 + 30 + 7 = 71
  • Mandibulary: 34 + 30 + 7 = 71

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

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 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Patient presented with Cl I skeletal, Cl II canine relationship, crowding, and constricted upper arch.
  • I planned to distalize upper molars and expand the arches.
  • Some IPRs were done and Cl II elastics were used.
  • Everything was achieved as planned.

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

Initial Final
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