Class II div 1
,
Mandibular retrognathia
,
Mandibular midline deviation
,
Midline shift

Retraction
,
IPR
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr B. Saenghirunvattana, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 49 + 22 = 71
  • Mandibulary: 49 + 22 = 71

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • 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

  • Align and retrocline lower incisors.
  • IPR lower posterior teeth to create space for lower incisors retraction and retroclination.
  • Derotate upper molars, Class II correction.
  • Leave space for 22 build-up to correct Bolton's discrepancy.

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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