Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
Courtesy of Dr M. Pedernera, 2018
Award 2019 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: male
  • Invisalign Treatment Option: Teen

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 17 + 9 + 10 = 36
  • Mandibulary: 18 + 9 + 8 = 35

Aligner Wear time

  • The first set of aligners were changed every 2 weeks The Additional Aligners were changed every week

Results achieved

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

Comments

  • This case was very challenging for me because the patient wanted not only to improve the crowded teeth but to improve his profile.
  • The main issue was to solve the crowding of the lower teeth and performing intrusion of both the upper and lower incisors.
  • In order to correct the Spee curve some extrusion of the lateral sectors was needed and the conventional bite ramps helped.
  • The patient wore his aligners and elastics the right amount of time
  • Class II elastics full time on the left side and only at night on the right side.

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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