Class II div 2, Posterior crossbite, Deep bite, Asymmetric arches, Maxillary midline deviation, Mandibular midline deviation, Crowding, Rotations
Distalization
, Leveling Curve of Spee
, Intrusion
, Expansion
, Proclination
, IPR
, Phase II treatment
, Elastics: Class II
, Elastics: vertical
Courtesy of Dr H. Watabe,
2022
Treatment Summary
Patient Information
- Age: 18
- Gender: male
- Invisalign Submission Option: Invisalign Comprehensive
Total Treatment Time
- 23 months
Number of aligners
- Maxillary: 83 + 11 + 13 = 107
- Mandibulary: 83 + 11 + 13 = 107
Aligner Wear time
- 1-week
Retention
- Maxillary: Vivera retainer
- Mandibular: Vivera retainer
Results achieved
- Class I relationship achieved
- Functional canine guidance on both sides
- Posterior crossbite corrected
- 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
- 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
- ClassⅡ elastic (3/16 inch, 4.5 OZ) with sequential distalization was used to correct the ClassⅡ malocclusion.
- Deep overbite was corrected by intrusion of upper and lower incisors using the bite ramps and power ridge.
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