Class II div 2
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
Elastics: Class II
Courtesy of Dr A. Nayak, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 40
  • Gender: male
  • Invisalign Submission Option: Invisalign Moderate

Number of aligners

  • Maxillary: 25 + 15 + 16 = 56
  • Mandibulary: 25 + 15 + 16 = 56

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • 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
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The Desired Results was achieved by Expansion of the arches,
    Derotation of 22.
  • Button cutouts on molars for Class II Correction using Class II Elastics.
  • Bite opening using precision bite ramps.
  • Leveling of curve of spee by intrusion of the lower incisors.
  • Upper Incisor intrusion for cant correction was done.
  • Upper Incisor Torque was given.
  • Simultaneous Staging was followed throughout the treatment.
  • Retentive attachments on the premolars were placed.

Images

Initial and final

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upper
lower
right
front
left
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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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