Class II div 1
,
Open bite
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Extrusion
,
Expansion
,
IPR
,
Elastics: Class II
Courtesy of Dr C. Carvalho, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 29 + 18 = 47
  • Mandibulary: 25 + 5 = 30

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Overjet improved
  • Midlines coincident
  • 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

  • I performed distalization sequentially on the right side.
  • I started the 1.2 movement only when I had space to insert that tooth into the arch.
  • I used class II elastic as a form of anchorage.
  • Alignment and leveling with a little top and bottom expansion.

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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