Class II div 1
,
Increased overjet
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
TADs
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr W. Chang, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 27 months

Number of aligners

  • Maxillary: 51 + 16 + 19 = 86
  • Mandibulary: 51 + 16 + 19 = 86

Aligner Wear time

  • 8 days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

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

  • We extracted 1.8/2.8 to create space, then applied sequential distalization of upper posterior teeth to achieve Class I molar and canine relation.
  • TADs were used to achieve the distalization effectively, patient cooperation was essential as well.

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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