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

Distalization
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Elastics: Class II
Courtesy of Dr. E. Rothier, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 50
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 15 + 14 = 29
  • Mandibulary: 15 + 14 = 29

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Vivera

Results achieved

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Curve of Spee levelled
  • All treatment goals were achieved case

Comments

  • Patient has a class II of the left side and midline deviation. The patient did not want to use elastics fulltime, so we decided to solve the crownding with IPR, expansion, and elastics at night for anchorage. We needed additional aligners to solve some small residual rotations. In the first set of aligners we changed it every 2 weeks, and we did a 1 week change in the additional aligners.

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
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