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

Intrusion
,
Expansion
,
IPR
,
Elastics: Class II
Courtesy of Dr E. Rothier, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 25 months

Number of aligners

  • Maxillary: 22 + 28 = 50
  • Mandibulary: 22 + 28 = 50

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Vivera

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Overjet improved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Patient has a Class II relationship with a posterior crossbite and anterior openbite.
  • The posterior crossbite was corrected using posterior dental expansion.
  • In the first set of aligners we decided to correct the anterior open bite with posterior intrusion, there was no need for TAD´s.
  • The class II relationship was improved doing posterior IPR and intermaxilar elastics during the night.

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
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