Class II div 1
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class III
Courtesy of Dr J. ANDRES MONTOYA SIERRA, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 35
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 26 + 28 = 54
  • Mandibulary: 26 + 28 = 54

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • 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

  • It was achieved through the combination of all the tools available for closure of an open bite.
  • Posterior intrusion that generates mandibular autorotation.
  • Extrusion of the incisors of both arches combined with retraction.
  • Through the ClinCheck plan, established the exact moment for the use of class III intermaxillary elastics

Images

Initial and final

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upper
lower
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front
left
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upper
lower
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front
left

Progress

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lower
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front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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