Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Expansion
,
Elastics: Class II
Courtesy of Dr H. Samoto, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 10
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 28 months

Number of aligners

  • Maxillary: 69 + 16 = 85
  • Mandibulary: 34 + 16 = 50

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overjet
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • I used Class Ⅱ elastics as a functional appliance to accelerate mandibular growth.
  • In the middle of the treatment I set a button on the lower first molar instead of a precision hook to prevent aligner taking off.

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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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