Class II div 2
,
Deep bite
,
Narrow arches
,
Mandibular midline deviation

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
IPR
,
Elastics: Class II
Courtesy of Dr S. Zhang, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 53 + 14 = 67
  • Mandibulary: 53 + 14 = 67

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case

Comments

  • Because 32 was missing  I did IPR in 13-23 to harmonize Bolton index.
  • The space was obtained by upper molar distalization and upper arch expansion to align upper anterior teeth.
  • Overbite was corrected by intrusion of upper and lower incisors.

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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