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

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
,
Elastics: Class III
Courtesy of Dr Q. Chen, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 38 + 13 = 51
  • Mandibulary: 41 + 16 = 57

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

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

Comments

  • Total treatment time was 14 months with high efficiency.
  • Invisalign is good for molar distalization and lower front teeth intrusion.
  • The upper molars were distally moved by 1.5mm.
  • The upper front teeth were retracted by 5.5mm.
  • Class II elastics were used to enhance maxillary anchorage and help retract upper incisors.
  • The upper and lower arches were expanded by 1.5mm per side at the posterior area.
  • Overbite was improved after upper front teeth retraction and IPR.
  • Molar and canine relationships were both adjusted.

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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