Class II div 1
,
Increased overjet
,
Deep bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Mesialization
,
Leveling Curve of Spee
,
Intrusion
,
Retraction
,
First premolar extraction
,
Space Closure
Courtesy of Dr S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 16
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 49 + 19 = 68
  • Mandibulary: 42 + 16 = 58

Aligner Wear time

  • 10 days 1st round and 7days over additional aligners

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • 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 malocclusion with protrusion case.
  • 3.5 and 4.5 Congenital are missing over lower arch
  • The plan is to extract 1.4 and 2.4 and close all spaces in upper by using maximal anchorage with G6 protocol .
  • The space in the lower is closed using moderate anchorage with lower molar mesialization to achieve Class I at the end.
  • Intrusion of both upper and lower incisors to correct the overbite and gummy smile.

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