Class II div 1
,
Deep bite
,
Narrow arches
,
Crowding

Distalization
,
Intrusion
,
Expansion
Courtesy of Dr H. Ji, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 8
  • Gender: female
  • Invisalign Submission Option: Invisalign First

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 32 + 13 = 45
  • Mandibulary: 32 + 13 = 45

Aligner Wear time

  • 2w to 1w

Retention

  • Maxillary: Other Clear
  • Mandibular: Other Clear

Results achieved

  • Aesthetic smile line was achieved
  • Alignment of both arches through derotation
  • Arch expansion achieved
  • Arch form improved
  • Arches aligned and coordinated
  • Class I relationship achieved
  • Curve of Spee leveled
  • Functional overjet and overbite
  • Harmonic arches were achieved

Comments

  • To reduce the vertical dimension and rotate the mandible counterclockwise, I planned to intrude posterior teeth sequentially.
  • To move 1.1 & 2.1 lingually, I planned the expansion of both arches sequentially with sequential intrusion of posterior teeth.
  • To achieve normal overbite, intrusion of incisors was planned with precision bite ramps.

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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