Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Open bite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Mandibular advancement
,
Pre Mandibular advancement phase
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Space Closure
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Elastics: vertical
Courtesy of Dr W. ting Lin, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 8
  • Gender: male
  • Invisalign Submission Option: Invisalign First

Number of aligners

  • Maxillary: 50 + 14 + 19 = 83
  • Mandibulary: 50 + 10 + 13 = 73

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 

Comments

  • MA used in the cases for mandibular advancement, and Class II elastics for Maxillary incisors protrusion and proclination correction.
  • The open bite was closed as well as the diastema.
  • Myofunctional therapy during the treatment was needed.
  • The F/U will be important and the possibllity of Phase II treatment indicated.
  • The patient and his parents were all satisfied with the treatment outcome.

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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