Class II div 1
,
Anterior crossbite
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding
,
Rotations

Distalization
,
Mesialization
,
First premolar extraction
,
Space Closure
Courtesy of Dr. V. Nief, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 23 months

Number of aligners

  • Maxillary: 36
  • Mandibulary: 49

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • On the left lower side the 34 space was used to align 33 and the posterior teeth were mesialised in the remaining space.
  • On the left upper side, the 24 space was used to distalise and align 23 as well as to obtain a dental class I. The posterior teeth were then mesialised in the remaining space.
  • On the right upper side, the 14 space was used to align 11, 12 and 13.
  • On the right lower side the 44 space was used to mesialise 45 and 46 in order to obtain a Class I.
  • All these actions allowed to align the upper and lower midlines.

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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