Class II div 1
,
Mandibular retrognathia
,
Deep bite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Spacing
,
Diastema

Elastics: Class II
,
Distalization
,
Leveling Curve of Spee
,
Intrusion
,
IPR
Courtesy of Dr. S. Palma Moya, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: male
  • Invisalign Treatment Option: Teen

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 30 + 19 + 20 = 69
  • Mandibulary: 30 + 10 + 19 = 59

Aligner Wear time

  • first treatment changes every 14 days, refinements changes every 10 days.

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
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • The patient has used class II elastics for 24 hours on the right side and elastic class II overnight on the left side.
  • After the treatment a bleaching treatment was done.

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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