Class II div 2
,
Posterior crossbite
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Elastics: vertical
Courtesy of Dr. M. Clare, 2017
Award 2018 Peer Review Awards
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 37
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 30 months

Number of aligners

  • Maxillary: 30 + 20 + 15 = 65
  • Mandibulary: 30 + 20 + 15 = 65

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Other Clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • 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

  • Arch broadening, IPR, asymmetric CL II elastics
  • Normalisation of the upper and lower labial segments.
  • Flattening of the Curve of Spee
  • intrusion of the lower labial segment by 4mm

Images

Initial and final

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upper
lower
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front
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lower
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front
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Progress

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upper
lower placeholder
right
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial
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