Class II div 2
,
Deep bite
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Retraction
,
Proclination
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr Y. Liu, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 26 months

Number of aligners

  • Maxillary: 56 + 20 + 18 = 94
  • Mandibulary: 44 + 20 + 10 = 74

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • Harmonic arches were achieved

Comments

  • This is a Class II division 2, deep bite, crowding case.
  • Upper and lower sequential distalization, expansion, and posterior IPR with full-time Class II elastics were used to relieve crowding and achieve Class I relation.
  • Staging of the upper anterior teeth movements - 1. Procline, 2. Intrude, 3. Retract.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged316
Click to compare enlarged310