Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
Lower incisor extraction
,
IPR
,
Overtreatment
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Elastics: Class III
,
Elastics: vertical
,
Extraction
Courtesy of Dr T. Hui, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 31
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 69 + 12 = 81
  • Mandibulary: 39 + 12 = 51

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Proper axial inclination of incisors
  • 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

Step I:

  • Extracted 18,28 and upper molar distalization with v-pattern.
  • At the end of the treatment, the Molar Relationship is class I. but the anterior object is a little deep.
  • Extracted 31 and alinement lower teeth, straight the Spee curve. and intrusion lower anterior teeth; At the end of the treatment, the Bite is a little deep.
  • Used Elastics in Aligners treatment 27, 37 crossbites.
  • Expansion of the arch narrow with Aligners. At the end of the treatment, the arch is normal.

Step II the additional Aligners:

  • In the upper arch used IPR treatment deep object.
  • In the lower arch intrusion anterior teeth, and lower anterior a little inclination.
  • Treatment deep bite.
  • Occlusal correction

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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