Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches

Mesialization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Retraction
,
Proclination
,
First premolar extraction
,
Other extraction
,
Elastics: Class II
,
Extraction
Courtesy of Dr K. Mehta, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 45 + 11 = 56
  • Mandibulary: 45 + 24 = 69

Aligner Wear time

  • 10

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case

Comments

  • Presented with a large overjet and large overbite, we decided to remove the Upper first and lower second premolars to achieve the treatment objectives.
  • Class II elastics were used to mesialise the lower molars.

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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