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

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
,
Elastics: Class II
Courtesy of Dr P. Nguyen, 2024
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 23 months

Number of aligners

  • Maxillary: 47 + 23 + 13 = 83
  • Mandibulary: 47 + 23 + 13 = 83

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
  • Harmonic arches were achieved

Comments

  • All four wisdom teeth were removed before getting Invisalign treatment.
  • In the upper arch, sequential distalization was planned to gain space for the retraction of incisors, achieving optimal overjet and class I canine and molar relationships bilaterally.
  • Class II elastics (1/4 inch, medium force 4.5 oz) were used to support anchorage in the upper arch.
  •  In the lower arch, sequential distalization was planned to gain space for the alignment and intrusion of incisors.
  • IPR between lower anterior teeth for correction of lower midline and intrusion of incisors more in Additional Aligners.

Images

Initial and final

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upper
lower
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front
left
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lower
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front
left

Progress

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lower
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front
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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