Class II div 2
,
Deep bite
,
Asymmetric arches
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
Lower incisor extraction
,
IPR
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Extraction
Courtesy of Dr Y. Zhou, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Number of aligners

  • Maxillary: 61 + 14 = 75
  • Mandibulary: 61 + 14 = 75

Aligner Wear time

  • 10 Days

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Midlines coincident
  • 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

  • Shift the lower midline to align the upper midline.
  • IPR on upper and lower anterior teeth.
  • Intrude the upper and lower anterior teeth.
  • Distalize the upper molars to Class Ι and use Class II elastic.

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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