Class II div 2
,
Posterior crossbite
,
Deep bite
,
Narrow arches
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr L. De la Torre, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 22 + 63 + 13 = 98
  • Mandibulary: 16 + 14 + 13 = 43

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
  • 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

  • In this case, the first step was to decompensate the upper incisors which permitted the lower arch to shift forward, naturally improving the profile. Then, we distalized the upper teeth to achieve a Class I canine and molar.

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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