Class II div 1
,
Increased overjet
,
Asymmetric arches
,
Midline shift
,
Crowding

Mandibular advancement
,
Distalization
,
Leveling Curve of Spee
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr J. Lv, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Invisalign Assist

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 79 + 17 = 96
  • Mandibulary: 20 + 17 = 37

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
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 

Comments

  • Serialized remote molars for high efficiency.
  • Patients need to be fully accompanied by class II traction to prevent lip tilt of incisor teeth.
  • Molars need to be braced to prevent tilting during distance migration.

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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