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

Elastics: Class II
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Lower incisor extraction
,
Other extraction
,
IPR
,
Space Closure
,
Elastics: Class II in Additional Aligners
Courtesy of Dr S. Chieh Lin, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 46
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 20 + 23 + 17 = 60
  • Mandibulary: 24 + 19 + 13 = 56

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • 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
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Class II div I malocclusion with crowding case
  • Patients chief complaint was her protrusive profile with flared out incisors
  • The Treatment plan was to extract periodontal compromise on 4.1 to resolve lower crowding and do upper IPR for Bolton's discrepancy and retract U2-2 for profile improvement
  • Jump at the end in ClinCheck design for Class II correction.
  • Class II elastics were used for the jump
  • Vivera retainer

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged314
Click to compare enlarged308