Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Spacing

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
,
Elastics: Class II
Courtesy of Dr J. Weng, 2023
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 45 + 17 = 62
  • Mandibulary: 45 + 17 = 62

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Patient is a skeletal Class II(ANB=5°) with mandibular retraction.
  • The most important treatment was to expand the maxillary arch to promote the forward growth of the mandible.
  • Three-dimensional adjustments of the upper and lower arches were important in the Class II malocclusion treatment.
  • Horizontally, aligners to expand the upper and lower arches.
  • Vertically, curve of Spee was leveled.
  • Sagitally, the upper molars were distalized to retract the upper anterior teeth and decrease the anterior overjet.
  • Light force(3/16,3.5oz) Class II elastics were used to guide the mandible forward.
  • Normal overjet and overbite relationships were achieved.
  • Normal anterior inclinations were achieved.

Images

Initial and final

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

Initial Final
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