Class II div 1
,
Open bite
,
Narrow arches
,
Maxillary midline deviation

Distalization
,
Expansion
,
Retraction
,
Elastics: Class II
Courtesy of Dr G. Aparicio, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 16
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 42
  • Mandibulary: 12

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case

Comments

  • Class I canine and molar: sequential distalization in upper right side.
  • In the upper left side, class I canine was achieved closing the diastema between canine and first premolar, and class I molar with distalization and correcting the rotation of first molar.
  • Elastic class II were used from upper canines to lower second molars ,12 hours per day.
  • Normal overjet and overbite were achieved by retraction and extrusion of upper anterior teeth.
  • No additional aligners were prescribed.

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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