Class II div 1
,
Class III
,
Posterior crossbite
,
Open bite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Rotations
,
Spacing

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Space Closure
,
Elastics: Class II
Courtesy of Dr V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 16
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 31 + 18 + 19 = 68
  • Mandibulary: 32 + 50 + 19 = 101

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
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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

  • Arch asymmetry with anterior interference is the cause of posterior open bite in this particular case.
  • Lower anterior intrusion and arch expansion were performed to remove interference and coordinate the arches.
  • Finally, to achieve Class I molar and canine relationship in both sides, lower right sequential distalization was performed.
  • By only Invisalign system without TADS and braces, achieved a good result and enhance patient's experience during the treatment.

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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