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

Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
IPR
Courtesy of Dr H. Garcia Alatorre, 2018
Award 2019 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 23
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 35 + 14 = 49
  • Mandibulary: 13 + 14 = 27

Aligner Wear time

  • 10 Days

Results achieved

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

  • Sequential Distalization Planned plus distal rotation of upper molars, combined with class II elastics from 7´s to upper 3´s to help solving the AP problem
  • Expansion of both arches was crucial for correction
  • Anterior intrusion of lower incisors and slight extrusion of lower pre molars to level the curve of Spee
  • Smile arc is improved, the patient likes to show her smile again and better profile

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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