Class II div 2
,
Posterior crossbite
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding

Elastics: Class II
,
Expansion
,
Retraction
,
First premolar extraction
,
IPR
Courtesy of Dr K. Tokuhisa, 2018
Award 2019 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 34 months

Number of aligners

  • Maxillary: 38 + 29 = 67
  • Mandibulary: 38 + 19 = 57

Aligner Wear time

  • 2-weeks

Results achieved

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • 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

  • Maxilla both first premolars extraction
  • Mandibular expansion IPR
  • Attachment start from stage 3

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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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