Class II div 1
,
Posterior crossbite
,
Asymmetric arches
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Retraction
,
IPR
,
Elastics: Class II
,
Elastics: Class III
Courtesy of Dr V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 22
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 35 months

Number of aligners

  • Maxillary: 54 + 11 + 6 = 71
  • Mandibulary: 35 + 18 + 6 = 59

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
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The bite plane effect of the Invisalign aligners played an important role in relieving posterior interferences during the correction of the scissor bite.
  • Sequential distalization and IPR were performed to correct Class II division 1 malocclusion and to correct crowding.
  • Retraction and relative extrusion of upper anterior teeth are synergistic tooth movements and are key factors in creating a better smile arc.

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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