Class II div 1
,
Increased overjet
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Intrusion
,
Retraction
,
First premolar extraction
,
Elastics: Class II
,
Extraction
Courtesy of Dr P. Nguyen, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 67 + 27 + 11 = 105
  • Mandibulary: 67 + 27 + 11 = 105

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • Harmonic arches were achieved

Comments

  • A case with bilateral congenitally missing mandibular incisors. I decided to remove the upper first premolars.
  • Maintaining maximum anchorage on the posterior segments.
  • Class II elastics were used to provide anchorage for the retraction of the upper anterior teeth.
  • IPR between lower teeth to support leveling the Curves of Spee, alignment, and rotation correction.

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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