Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

Expansion
,
Proclination
,
Phase II treatment
Courtesy of Dr. S. Chieh Lin, 2016
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 22 + 15 = 37
  • Mandibulary: 18 + 15 = 33

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • This is a Teen Teen case treated with Functional appliance first to correct skeletal discrepancy.
  • After 1 year of Bionator Tx, finish this case by Invisalign Full option.
  • It's valuable to use 2 -stage treatment in adolescent which can made Tx difficulty from hard to easy.
  • Total Tx time is 12M Bionator with 15M Invisalign treatment.

Images

Initial and final

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lower
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left
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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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