Class II div 2
,
Deep bite
,
Narrow arches
,
Rotations

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

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Submission Option: Invisalign Assist

Total Treatment Time

  • 21 months

Number of aligners

  • Maxillary: 47 + 16 = 63
  • Mandibulary: 40 + 12 = 52

Aligner Wear time

  • 9day

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • 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 
  • Harmonic arches were achieved

Comments

  • For the first stage, the desired effect was achieved with molar distalization for partial spatial alignment. Leveling of the curve of Spee improved the deep bite.
  • The second stage was successfully completed using a small amount of IPR. The dental arch morphology was adjusted to improve the smile line. Clinical treatment with lip training improved the gummy smile.
  • After the posterior bite reached class I, the bilateral occlusion was more balanced than before treatment.
  • This resulted in more balanced facial muscles and prevented aggravation trends for face-size change.

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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