Class II div 1
,
Increased overjet
,
Narrow arches
,
Midline shift
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Elastics: vertical
Courtesy of Dr J. Tsai, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 27 + 12 = 39
  • Mandibulary: 27 + 12 = 39

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • 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 13 y/o male patient presented with Class II occlusion, increased overjet, and a delay-erupted #47.
  • A panoramic x-ray revealed eruption pathway of #47 was hindered by #48 tooth germ.
  • #48 surgical enucleation was performed and #47 eruption was taken place 6 months after surgery.
  • Invisalign treatment with class II elastics was adopted to address increased overjet.
  • Satisfactory results were achieved after 18 months of Invisalign treatment.

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

Initial Final
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