Class II div 1
,
Increased overjet
,
Open bite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

Extrusion
,
Expansion
,
Proclination
,
IPR
,
Elastics: Class II
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 35 + 18 = 53
  • Mandibulary: 35 + 19 = 54

Aligner Wear time

  • Progressive Aligner change interval.14 day -10 day-7 day.At Refinement 7 day change interval.

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • 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

  • Expansion: Maxilla and Mandible Arches.
  • Derotation of Upper First Molars.
  • Midline Centering: Space was achieved with the arch expansion and low IPR in order to move lower midline 2 mm to the left side and move upper midline 1.5 mm to the right side.
  • Buccal Torque was planned at upper and lower canine,premolars and molars in order to achieve a better aesthetic smile.
  • Open bite correction: Once upper and lower arches were expanded and aligned we placed multi-tooth .
  • Class II Elastics were used in order to achieve Class I molar and canine on the right side.

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 enlarged290