Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

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

Treatment Summary

Patient Information

  • Age: 13
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 23 months

Number of aligners

  • Maxillary: 31 + 20 + 20 = 71
  • Mandibulary: 31 + 20 + 20 = 71

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

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

  • CL II elastics from 3 to 6 were used to correct Cl II canine relationship.
  • IPRs were used to decrease the patient’s profile.
  • Lower anterior intrusion was performed to correct severe deep bite.

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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