Class II div 1
,
Edge to edge bite
,
Increased overjet
,
Open bite
,
Narrow arches
,
Crowding
,
Rotations

Expansion
,
Elastics: Class II
Courtesy of Dr K. Tokuhisa, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 26 months

Number of aligners

  • Maxillary: 30 + 15 + 13 = 58
  • Mandibulary: 20 + 15 + 13 = 48

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Other Clear
  • Mandibular: Other Clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Overjet improved
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • Elastic Jump
  • Class Ⅱ elastics were used during night time only
  • Extracted four wisdom teeth
  • Optimized extrusion attachment was very effective
  • Last refinement aligners were used for treatment of horizontal bite plane

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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