Class II div 1
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding
,
Rotations

Mandibular advancement
,
Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
Courtesy of Dr. N. Thi Quynh Mai, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen with MA

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 30 + 28 = 58
  • Mandibulary: 30 + 28 = 58

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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

  • Do MA for this patient:
    - Finish at edge to edge position
    -2 mm incremental
    -Not shift lower arch to improve midline
  •  Using traditional rectangular attachments on buccal teeth 13,14,17,23,24, 33,34,43,44.
  •  Using traditional rectangular attachments on lingual teeth 15,16,26,35,36.
  • Using ellipse attachment on lingual tooth 25.
  • Expanding maxillary and mandibular arches.
  • Intruding the lower incisors with power ridges.
  • Retracting the upper incisors with power ridges.

Images

Initial and final

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upper
lower
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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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