Class II div 1
,
Open bite
,
Midline shift
,
Crowding

Distalization
,
IPR
Courtesy of Dr. Garino, 2010-european-case-gallery
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 31
  • Gender: Female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 17 + 6 = 23
  • Mandibulary: 18 + 7 = 25

Retention

  • Maxillary: Invisalign retainer
  • Mandibular: Invisalign retainer

Results achieved

  • Class I relationship
  • Overjet and openbite corrected
  • Midlines improved but not fully corrected
  • Arches aligned and coordinated

Comments

  • Simultaneus staging should be supported by Class II elastics
  • Refinement was made with new photos and new impressions
  • Midline was not correcteddue to probable ankylosis of2.1 (UL1)

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

Intitial Final
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  • Axial inclination of maxillary and mandibular incisors will allow relative extrusion of incisors