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

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
First premolar extraction
,
Space Closure
,
Elastics: Class II
Courtesy of Dr S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 31 months

Number of aligners

  • Maxillary: 51 + 16 = 67
  • Mandibulary: 31 + 14 = 45

Aligner Wear time

  • 2-weeks

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • 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

  • This is a Class II div.1 malocclusion with large OJ and severe deepbite.
  • Skeletal issue with prognathic maxilla and retrognathic mandible.
  • Patient denied any surgical option.
  • Treatment plan is dental compensation extraction of 1.4 an 2.4 .
  • The clincheck design is upper close extraction space with maximal anchorage and finish with a Class II molar and Class I canine relationship.
  • Lower arch gets space from arch expansion to avoid lower incisor proclination.
  • Deepbite was corrected with lower anterior intrusion and control upper incisor.

Images

Initial and final

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lower
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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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