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
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