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 Submission 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

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upper
lower
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front
left
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upper
lower
right
front
left

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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