Class II div 2
,
Increased overjet
,
Crowding

Distalization
,
Retraction
,
IPR
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr M. Makino, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 61
  • Mandibulary: 61

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Other Clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors

Comments

  • Left side Class II elastic 8h time wear from start to 40 stage.
  • Use of aligner chew to improve the aligner fittin.
  • For good compliance and adolescent patients, during the distal movement the aligner changed with 1 week .
  • At final stage, using vertical elastic with labial clear button between UR2 and LR3.

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 Final
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