Class II div 2
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Crowding

Leveling Curve of Spee
,
Intrusion
,
IPR
,
Pre-surgical
Courtesy of Dr L. De la Torre, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 42 + 7 + 18 = 67
  • Mandibulary: 42 + 10 + 18 = 70

Aligner Wear time

  • 7days in first phase and 10days in others

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • In this case, the patient declined orthognathic surgery at first. However, after phase 1, the patient requested that we change our goals to include surgery.

Images

Initial and final

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upper
lower
right
front
left
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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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