Class II div 1
,
Increased overjet
,
Deep bite
,
Asymmetric arches
,
Midline shift

Distalization
,
Leveling Curve of Spee
,
Retraction
,
Elastics: Class II
Courtesy of Dr B. Saenghirunvattana, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 67 + 6 = 73
  • Mandibulary: 67 + 6 = 73

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
  • 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 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Class II correction by unilateral distalization of upper left posterior teeth to help retract upper incisors.
  • Reduced overbite and overjet to normal relationship
  • Controlled lower incisor inclination.
  • Corrected midline shift.
  • Achieved arch symmetry in upper and lower arch.

Images

Initial and final

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upper
lower
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front
left
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upper
lower
right
front
left

Progress

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lower
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front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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