Class II div 2
,
Deep bite
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr B. Wang, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 36 + 21 = 57
  • Mandibulary: 36 + 21 = 57

Aligner Wear time

  • 1 week

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
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Distalization of upper posterior teeth with the help of Class II elastics to achieve Class I molar and canine relationships
  • IRP helped resolving dental crowding and reduced the periodontal black triangle
  • Root lingual torque was added to control the position of the upper and lower anterior teeth roots and prevent any further gingival recession or periodontal damage

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

Initial Final
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