Class II div 1
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr E. Rothier, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 40
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 9 months

Number of aligners

  • Maxillary: 12 + 12 = 24
  • Mandibulary: 10 + 12 = 22

Aligner Wear time

  • 2-weeks

Results achieved

  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Overjet improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • Correction of crowding and rotations was performed through IPR and with minimal tooth expansion.
  • Correction of the dental protrusion was solved through posterior expansion, and posterior and anterior IPR.
  • Improvement of the canine class I relationship was obtained through the posterior IPR and distalization.
  • The patient used class II elastics only at night.
  • Second and third molars were not moved for better treatment future stability and anchorage control.
  • The reason to request additional aligners was due a restorative change in tooth 1.5 early in the treatment (aligner number 4).

Images

Initial and final

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

Initial
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