Class II div 1
,
Narrow arches
,
Crowding
,
Rotations

Expansion
,
Proclination
,
IPR
,
Elastics: Class II in Additional Aligners
Courtesy of Dr C. Capan, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 19 months

Number of aligners

  • Maxillary: 31 + 15 + 9 = 55
  • Mandibulary: 38 + 9 + 4 = 51

Aligner Wear time

  • 10

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Proper axial inclination of incisors
  • Alignment of both arches through derotation
  • Aesthetic smile line was achieved 

Comments

  • Expansion and IPR were performed on both arches to treat crowding.
  • Proclination of lower anteriors helped us end with a better overjet.
  • Class II correction was achieved in additional aligners with posterior IPR and Class II elastics.
  • Because of the patient's impending wedding, the chief goal was to treat crowding and achieve a better smile in the initial aligners.
  • Class II treatment was, therefore, dropped to the additional stage.
  • Bleaching was done after Invisalign treatment.

Images

Initial and final

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upper
lower
right
front
left
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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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