Class II div 1
,
Posterior crossbite
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Retraction
,
First premolar extraction
,
IPR
,
Elastics: Class II in Additional Aligners
,
Extraction
Courtesy of Dr L. Zhang, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 41 months

Number of aligners

  • Maxillary: 57 + 34 + 14 = 105
  • Mandibulary: 57 + 34 + 14 = 105

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • 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

  • Good anchorage control by G6.
  • Good torque control by power ridge.
  • Excellent correction of inclination of upper canine.
  • Correction of mandibular midline deviation by IPR.

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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