Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Crowding

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr Q. Chen, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 42 + 17 + 7 = 66
  • Mandibulary: 45 + 20 + 10 = 75

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overjet
  • 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

  • Invisalign treatment is good for congenital anodontia cases and for correction of Bolton index discrepancy.
  • Upper front teeth were retruded by 5mm.
  • Class II elastics were used in all phases to enhance maxillary anchorage and help retract upper incisors.
  • The upper and lower arches were expanded by 1mm per side at the posterior and canine areas.
  • The lip posture was much better after upper front teeth retraction.

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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