Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Crowding
,
Rotations
,
Spacing
,
Diastema

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: 36
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 31 + 41 = 72
  • Mandibulary: 31 + 41 = 72

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • 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

  • distalized upper posterior teeth with the help of Class II elastics to help achieve Class I molar and canine relationship
  • Improved anterior overbite and overjet
  • Intrusion of lower anterior teeth to help leveling the curve of Spee
  • Intrusion of upper anterior teeth to help correct gummy smile
  • IPR was used to help reduce periodontal triangle

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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