Class II div 1
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 36
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 58 + 18 + 13 = 89
  • Mandibulary: 38 + 18 + 13 = 69

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

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

Comments

  • Intrusion of the lower anterior teeth to correct deep bite was achieved with precision bite ramps on the upper incisors.
  • Class II elastics were used on the lingual side of the upper canine to provide a derotation force vector to the upper canines.
  • Diagonal elastics were used for midline correction.

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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