Class II div 1
,
Posterior crossbite
,
Deep bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Distalization
,
Leveling Curve of Spee
,
Expansion
,
IPR
Courtesy of Dr. D. Sun, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 36
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 44 + 26 = 70
  • Mandibulary: 44 + 26 = 70

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Vivera

Results achieved

  • Class I relationship achieved
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Curve of Spee levelled
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • The patient has bone Class II malocclusion and mandibular retrognathia with deep Spee curve.
  • So I planed to distalise upper molars sequencely and lower maxillary & mandicular anterior teeth. Finally I got very good result and the overjet decrease from 7.5mm to 3.0mm.
  • I added the upper anterior teeth torque in ChinCheck plan to trigger out Power Ridges.
  • It helped me to control upper anterior teeth to avoid roots out of bone.
  • I monitored the patient periodontitis all the treatment time and had very good controlling on it.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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