Class II div 2
,
Posterior crossbite
,
Anterior crossbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Other extraction
,
IPR
,
Extraction
Courtesy of Dr J. Weng, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 45 + 14 + 30 = 89
  • Mandibulary: 45 + 12 + 30 = 87

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • 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

  • This is an extraction case and 14/24 are extracted.
  • Upper molars' mesial movement is less than 0.5mm .
  • No miniscrew is used in this case.
  • Canine optimized root control attachments do a good job in canine’s bodily movement.
  • Lower molars are distalized by 1.5mm each side.
  • Upper arch is expanded by 1.5mm each side.
  • Curve of Spee was leveled.
  • Normal overjet and overbite relationships are achieved.

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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