Class II div 2
,
Deep bite
,
Narrow arches
,
Maxillary midline deviation
,
Crowding

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
TADs
,
Implants
,
Elastics: Class II
Courtesy of Dr S. Palma Moya, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 59
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 28 + 17 = 45
  • Mandibulary: 28 + 17 = 45

Aligner Wear time

  • initial 10 days, refinement 7 days

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

  • To achieve this final result we have used the invisalign Full package, with superior Distalization simultaneous with TAD and
    Expansion + IPR
  • We finished the treatment with fixed retainers, whitening and finally implant and crown in piece 1.3.

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 Final
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