Class II div 1
,
Anterior crossbite
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Expansion
,
IPR
,
Overtreatment
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Elastics: Class III
Courtesy of Dr H. Chen, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: female
  • Invisalign Submission Option: Invisalign Moderate

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 26 + 18 + 21 = 65
  • Mandibulary: 26 + 18 + 21 = 65

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

1. Invisalign aligners combined with Class II elastics are effective tools to achieve Class I molar relationship and correct midline.
2. Invisalign aligners can be effectively used for arch expansion, and tooth alignment to achieve a Class I molar relationship with good smile aesthetics.
3. Invisalign moderate package is sufficient to correct moderate crowding and Class II cases.

Images

Initial and final

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upper
lower
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front
left
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lower
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front
left

Progress

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lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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