Class II div 1
,
Anterior crossbite
,
Open bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Pre-restorative

Elastics: Class II
,
Leveling Curve of Spee
,
Retraction
,
Other extraction
,
IPR
,
Space Closure
Courtesy of Dr. S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 22
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 43 + 12 = 55
  • Mandibulary: 43 + 16 = 59

Aligner Wear time

  • 10 days first and 7 days in additional aligners

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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 is a Class II div 1 subdivision case with mid line deviation to R't side.
  • Tx plan is to extract 1.4 (UR4), 2.4(UL4), 3.4(LL4), 4.5(LR5), for profile improvement and relieve crowding.
  • Asymmetrical ext over lower arch made mid line and molar relationship correction easier.
  • Anterior retraction is done by G6 protocol.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged314
Click to compare enlarged308