Class II div 1
,
Anterior crossbite
,
Edge to edge bite
,
Increased overjet
,
Open bite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr D. Aizenbud, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Total Treatment Time

  • 6 months

Number of aligners

  • Maxillary: 22
  • Mandibulary: 22

Aligner Wear time

  • 10 days

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved

Comments

  • We distalized the upper teeth with the use of Class II elastics
  • Upper and lower arches were expanded
  • IPR was performed on lower, to help resolve crowding and correct premolars rotations
  • We extruded upper and lower teeth to close the bite
  • I chose not not to correct the lower midline for the following reasons:
  • The upper midline follows the facial midline
  • The lower dental midline deviates 0.7 mm to the right side, but is not exposed in facial repose and smile photos
  • a Solid class I occlusion was achieved in both canine and molar region '
  • a Good OJ and OB was achieved in the anterior area
  • No aesthetic or functional reason was found for lower midline correction
  • The patient was highly satisfied with her treatment results

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
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