Class II div 2
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Impacted canines

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
Phase I treatment / Interceptive
Courtesy of Dr W. Pitakanonda, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: female
  • Invisalign Submission Option: Invisalign First

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 33 + 8 + 20 = 61
  • Mandibulary: 33 + 7 + 20 = 60

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Class II relationship maintained
  • Normal  overjet and overbite achieved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Developed properly arch form on both upper and lower arches via expansion to solve the problem of tooth arch size discrepancy in mixed dentition.
  • The proclination in mixed dentition can help 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

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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