Class II div 2
,
Asymmetric arches
,
Crowding
,
Rotations

Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Extrusion
,
Retraction
,
First premolar extraction
,
Space Closure
Courtesy of Dr. H. Kim Chuan, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 22
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 21 months

Aligner Wear time

  • 10-14 days

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Class I relationship achieved
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • Extraction of 14, 24, 34 , 44 was done and space utilised for retraction of anterior teeth and crowding correction
  • Distalisation of upper and lower canines was done first before en mass retraction of anterior teeth and alignment of anterior teeth at the same time.
  • Maximum anchorage prescribed for upper arch while lower posteriors was mesialised until optimum occlussion achieved.

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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