Class II div 2
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Distalization
,
Intrusion
,
Expansion
,
IPR
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr S. Okano, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 19 months

Number of aligners

  • Maxillary: 80 + 19 = 99
  • Mandibulary: 80 + 19 = 99

Aligner Wear time

  • 5-7days

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

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

  • We conducted upper and lower molar distalization on both sides to improve crowding without TADs.
  • In initial aligners, we continued using Class II elastics (3/16 inch, 4.5 OZ) on the left side.
  • In Additional Aligners, we continued using Vertical elastics (1/8 inch, 6.5 OZ) on both sides.
    Precision bite ramp was very effective to improve deep bite in Additional Aligners.

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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