Class II div 2
,
Deep bite
,
Spacing
,
Diastema

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Retraction
,
Proclination
,
IPR
,
Space Closure
,
Phase II treatment
,
Elastics: Class II
Courtesy of Dr H. Watabe, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 64 + 11 + 13 = 88
  • Mandibulary: 41 + 9 + 11 = 61

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • 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

  • Initial Aligners:
    Used bite ramps and power ridges to improve deep bite.
    Class Ⅱ elastics (3/16inch, 4.5OZ) were used on both sides.
  • Additional Aligners:
    Triangle elastics (3/16inch, 4.5OZ) were used on both sides.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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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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