Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
TADs
,
Overtreatment
Courtesy of Dr S. Zhou, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 31 months

Number of aligners

  • Maxillary: 65 + 31 + 30 = 126
  • Mandibulary: 65 + 31 + 30 = 126

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Distalize molars to correct scissors bite of 24, 25, and, to retract anterior teeth.
  • Arch expansion to solve narrow arches, and improve the arch form.
  • Shift upper midline to right by 0.5mm.
  • Intrude lower incisors and level curve of Spee.
  • IPR lower anterior teeth, reduce black triangle space.
  • Extrude and upright the posterior teeth and improve the low angle.

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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Click to compare enlarged310