Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Lower incisor extraction
,
IPR
,
Space Closure
Courtesy of Dr V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 41
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 27 + 32 = 59
  • Mandibulary: 27 + 31 = 58

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • 4.2 was a hopeless tooth and planned for extraction.
  • Space closure with the Invisalign system was programmed by virtual gable bend to 4.3 and 4.1 for root parallelism after treatment finish.
  • IPR was performed in the upper anterior to solve Bolton's ratio discrepancy from the lower incisor extraction.
  • IPR in the lower arch was used to prevent dark triangles after the treatment was finished.
  • Precision bite ramps helped the intrusion of lower anterior teeth during the retraction phase.

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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