Class II div 1
,
Mandibular retrognathia
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Expansion
,
IPR
,
Overtreatment
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr N. Dinh Hung An, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: female
  • Invisalign Submission Option: Invisalign Moderate

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 24 + 24 + 7 = 55
  • Mandibulary: 24 + 24 + 7 = 55

Aligner Wear time

  • 1-week

Retention

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

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • Harmonic arches were achieved

Comments

  • Analyzed the initial esthetic smile to determine the treatment plan: smile improvement or smile maintenance.
    For this case, I have reduced buccal corridors to improve her smile by expansion.
  • Expanded and distalized the upper by wearing class II elastics full-time.
  • IPR to align teeth and reduce black triangles between teeth.

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
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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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