Class II div 1
,
Posterior crossbite
,
Deep bite
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Mandibular advancement
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 51 + 47 + 30 = 128
  • Mandibulary: 51 + 47 + 30 = 128

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
  • 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
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The skeletal Class II retrognathic mandible with deep bite is very favorable to treat by invisalign system with mandibular advancement feature.
  • When mandible was protracted by the precision wings, the Class II was corrected and upper anterior teeth were retracted.
  • Horizontal growth pattern of the patient enhanced the effect of decreasing of ANB angle .

Images

Initial and final

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upper
lower
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front
left
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upper
lower
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front
left

Progress

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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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