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 Treatment 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

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged316
Click to compare enlarged310