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

Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 39
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 27 + 17 = 44
  • Mandibulary: 26 + 17 = 43

Aligner Wear time

  • 1.Progressive Aligner Change from 14 day-10 day Interval withTreatment Aligners////Refinement Additional Aligner 7 day change interval.No Acceleration Device .

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • 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

  • Expansion :Premolar and Molar Expansion ( Upper and lower arch ).
  • Torque : Upper Premolar and Molar Torque was Programmed at Initial Treatment Clincheck Plan.
  • Retraction of Upper Anterior Teeth : Reduce Anterior Overjet./ IPR sites (0.3mm ): 1.3-1.2, 1.2-1.1, 1.1-2.1, 2.1-2.2. / IPR sites (0.2mm) : 2.2-2.3, 2.3-2.4.
  • Retraction of Lower Anterior Teeth: IPR Lower Incisors and Canines./ IPR sites (0.5mm) : 3.3-3.2, 3.2-3.1, 3.1-4.1, 4.1-4.2, 4.2-43.
  • Staging Clincheck Planing and Clinical Tracking : Tooth 11 required IPR Tracking Control and Aligner Fitness at Office Visits.
  • Class II Elastics : Precision Cuts Requested For Molars 3.6,4.6 : Button Bonding For Class II Elastics.
  • Virtual Elastic Jump Class II Molar and Canine Correction into Class I Molar and Canine.
  • Vivera Retainer Upper and Lower Arch ( 8 Hours- night wear ).
  • Profile Improvement : Due to Upper and Lower Anterior Retraction. Lower Lip Interposition with Upper Incisors was Corrected.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
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front
left

Progress

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

Initial Final
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