Class II div 2
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr L. De la Torre, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 46 + 11 = 57
  • Mandibulary: 40 + 6 = 46

Aligner Wear time

  • 10days

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
  • 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

  • In this case, we distalized the upper right side with class II elastics.
  • In the lower arch, we did IPR to improve the space of all teeth.
  • Some expansion was done to reach the coordination of arches.

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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