Class II div 2
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Phase II treatment
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr K. Malekian, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Number of aligners

  • Maxillary: 27 + 19 + 18 = 64
  • Mandibulary: 27 + 19 + 18 = 64

Aligner Wear time

  • Progressive Aligner change interval.14 Days- 10 Days- 7 Days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • 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

  • Proclination of upper central teeth combined with retraction of upper lateral teeth was done in order to achieve nice esthetic upper incisor inclination and deep bite correction improved.
  • IPR was programmed (Clincheck plan) at lower left premolars in order to achieve space for lower left canine retraction and alignment.
  • Midline correction was planned regarding facial midline reference to be coincident with the dental midline. In this treatment, minimal IPR was planned at clincheck in order to move the upper midline to the left side and lower midline to the right side.
  • Class II elastics with aligner button cutouts were planned to achieve full class I molar and canine.

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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