Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Crowding

Expansion
,
Leveling Curve of Spee
,
First premolar extraction
,
IPR
Courtesy of Dr L. Yu, 2017
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 36 + 14 = 50
  • Mandibulary: 36 + 11 = 47

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class II relationship maintained
  • Deepbite improved
  • Overjet improved
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Aesthetic smile linewas achieved
  • Harmonic arches were achieved

Comments

  • Completely inside the upper jaw. So pull out 24. Make 23 neat rows.
  • Because of the asymmetric tooth extraction, so increased the degree of symmetry of IPR to coordinate on both sides of the bow.

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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