Class II div 1
,
Anterior crossbite
,
Increased overjet
,
Mandibular retrognathia
,
Narrow arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Pre-restorative

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: vertical
Courtesy of Dr S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 38
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 25 + 16 + 9 = 50
  • Mandibulary: 22 + 20 + 11 = 53

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Overjet improved
  • 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 case with subdivision malocclusion and protrusive profile.
  • Both upper and lower dental midline deviate to R't side and crowding with an X-bite.
  • We tried to do anterior retraction by distalize the upper arch , expansion and IPR.
  • The end result is a huge profile improvement.

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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