Class II div 2
,
Posterior crossbite
,
Deep bite
,
Crowding

Distalization
,
Proclination
,
Restorative
,
Elastics: Class II
Courtesy of Dr X. Guan, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 49
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 59 + 10 = 69
  • Mandibulary: 48 + 10 = 58

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Significant improvement ofoverbite
  • 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

  • Upper posterior teeth distalization to solve the Class II molar relationship.
  • Increase of upper incisors root lingual torque, when distalizing upper posterior teeth using Class II elastics.
  • Lower anterior teeth have been intruded through frog pattern.
  • Second molars cross bite on left side has been corrected through derotating and buccal tipping lower left second molar.
  • Finally, we used veneer to restore the severe abrasion of lower left first molar.

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 enlarged316
Click to compare enlarged310