Class II div 1
,
Deep bite
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding
,
Rotations
,
Impacted canines

Phase II treatment
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Elastics: Class II
Courtesy of Dr C. Fournier, 2019
Award 2018 Summit Shoot out
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 28 months

Number of aligners

  • Maxillary: 61 + 44 + 25 + 16 = 146
  • Mandibulary: 61 + 43 + 25 + 16 = 145

Aligner Wear time

  • begin 8 days then 5

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Treat simultaneously arch coordination A-P and transverse with an orthopedic device MA appliance (Herbst)
  • In the mean time we treated tooth 23 and create space for blocked out 42 with invisalign
  • I have used lingual attachments on upper anterior for best aesthetics.

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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