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

Elastics: Class II
,
Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
Courtesy of Dr S. Okano, 2017
Award 2018 Peer Review Awards
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: male
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 32 + 8 = 40
  • Mandibulary: 32 + 9 = 41

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Invisalign Aligner
  • Mandibular: Invisalign Aligner

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Significant improvement ofoverbite
  • Midlines coincident
  • 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

  • This case is the maxillary teeth distalization with "ELASTIC JUMP".
  • The most important thing in this case is using classâ…ˇ elastics during total treatment.Class II elastics (3/16, 6.5 OZ) continued using from stage 9.
  • LR7 used button cut on the lingual side for effectively improve scissorsbite.
  • Precision bite ramp was very effective to improve deepbite.

Images

Initial and final

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lower
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Progress

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lower
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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