Class II div 1
,
Deep bite
,
Narrow arches
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Elastics: Class II in Additional Aligners
Courtesy of Dr H. Hong, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 7
  • Gender: male
  • Invisalign Submission Option: Invisalign First

Number of aligners

  • Maxillary: 25 + 17 + 11 = 53
  • Mandibulary: 25 + 17 + 11 = 53

Aligner Wear time

  • 7-14 days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Significant improvement of overbite
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 

Comments

  • 1st set: started early expansion to prevent the palatal eruption of 1.2, 2.2 planned simultaneous expansion of permanent molars and deciduous molars
  • 2nd set: planned simultaneous expansion and distalization of molars. wore 1/4" 4.5oz Class II elastics night time.
  • Aligner wear time: 7~10 days in the 1st and 2nd set. 10~14 days in the finishing set.
  • The deep bite was significantly improved by overcorrection intrusion setup in clincheck treatment plan and precision bite ramps.

Invisalign First treatment is my first choice for phase 1 treatment: achieved beautiful smile line, arch expansion, and tooth alignment

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