Class II div 2
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding

Intrusion
,
Expansion
,
IPR
,
Distilation
Courtesy of Dr L. Closs, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 16
  • Gender: female
  • Invisalign Treatment Option: Comprehensive

Number of aligners

  • Maxillary: 39
  • Mandibulary: 30

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera
  • Mandibular: Fixed/Blonded

Results achieved

  • Aesthetic smile line was achieved
  • Alignment of both arches through derotation
  • All treatment goals were achieved case
  • Arch form improved
  • Arches aligned and coordinated
  • Class I relationship achieved
  • Curve of Spee leveled
  • Deepbite improved
  • Functional canine guidance on both sides
  • Functional overjet and overbite
  • Midlines aligned
  • Normal overjet and overbite achieved
  • Proper axial inclination of incisors

Comments

The results achieved were based on :

  • Distalization mechanics on the maxillary arch combined with slight mesial movement of teeth quadrant 4;
  • Anterior maxillary, as well as mandibular teeth, were initially proclined and then intruded and retroclined;
  • IPR (Interproximal reduction) was planned to help with correction of crowding as well as arch asymmetry;
  • A larger amount of IPR was planed on quadrant 3 to help in the correction of lower midline deviation;
  • Class II elastics were used for 16 hs / daily.

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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