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

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Overtreatment
,
Elastics: Class II
Courtesy of Dr J. Weng, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 62 + 9 = 71
  • Mandibulary: 62 + 9 = 71

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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

  • I treated this patient for upper molar distalization and expansion.
  • Invisalign aligners have advantages in molar distalization.
  • Upper incisors were retracted by 3mm.
  • Buttons and power chains were used to rotate 25.
  • Leveled curve of Spee.
  • Normal overjet and overbite relationships are achieved.

Images

Initial and final

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upper
lower
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front
left
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upper
lower
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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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