Class II div 1
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Elastics: Class II
,
Mesialization
,
Expansion
,
Retraction
,
First premolar extraction
,
Other extraction
,
IPR
,
TADs
,
Elastics: vertical
Courtesy of Dr. K. Hung Chung, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 35
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 30 + 18 = 48
  • Mandibulary: 30 + 18 = 48

Aligner Wear time

  • 2-weeks

Retention

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

Results achieved

  • Class I relationship achieved
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • Simultanous staging to reduce the number of aligner. gable bending movement in closing extraction to avoid dumping.
  • Patient compliance improved as the treatment progress.
  • She wore the aligner for enough time and using chewies whenever possible.
  • Class II elastic (1/4, 4 OZ) has been used from the start of treatment.
  • TAD has been use in the additional aligners stage to upright tilted molars.
  • Up and down elastic and button have been use to improve interdigition in the premolars and molars area

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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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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