Class II div 1
,
Edge to edge bite
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Midline shift
,
Crowding
,
Rotations
,
Spacing

Intrusion
,
Distalization
,
Leveling Curve of Spee
,
Expansion
,
Retraction
,
Space Closure
,
Elastics: Class II
Courtesy of Dr Y. Yang, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 26 months

Number of aligners

  • Maxillary: 46 + 31 = 77
  • Mandibulary: 42 + 26 = 68

Aligner Wear time

  • 10 days

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
  • Arch form improved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Upper right molars distalization to get space for upper anteriors retrusion and intrusion.
  • Lower right molars distalization to get space for alignment.
  • Lower arch expansion to get space for lower anteriors intrusion.
  • Lower arch leveling for bite jump to improve mandibular retraction.
  • Vertical dimension control and sagittal dimension improvement to achieve better profile at finial.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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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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