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 Submission 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

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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