Class II div 1
,
Increased overjet
,
Deep bite

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: 24
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 41 + 12 = 53
  • Mandibulary: 15 + 12 = 27

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
  • Significant improvement of overjet
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Sequential distalization and IPR were performed to achieve Class I molar and canine relationship and decrease overjet.
  • Class II elastic from precision cut hooks on upper canines indirectly delivered the retraction force to make upper incisors finish with an upright position.

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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