Class II div 1
,
Increased overjet
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Pre-restorative

Elastics: Class II
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
Courtesy of Dr R. Lie, 2018
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 24 + 13 = 37
  • Mandibulary: 19 + 13 = 32

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Transverse expansion of buccal segments of upper first molars and premolars by 2 mm each side, to achieve a rounded arch form.
  • The anterior segments were aligned by Staging of IPR to avoid unnecessary or round tripping tooth movements.
  • The residual overjet was improved by IPR.
  • Class II elastics during the Additional aligner stage
  • Excellent compliance by patient

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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