Class II div 1
,
Posterior crossbite
,
Increased overjet
,
Midline shift
,
Pre-restorative

Elastics: Class II
,
Distalization
,
Expansion
,
Retraction
,
Restorative
Courtesy of Dr A. Nayak, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 21 months

Number of aligners

  • Maxillary: 44
  • Mandibulary: 44

Aligner Wear time

  • 2-weeks

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overjet
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Button cut outs on the first molars and precision cuts on the upper canines were used to help distalization with medium force
  • Class II elastics
  • The patient was in a stage of growth.
  • The Class II correction could be achieved with molar distalization as well as a component of forward mandibular growth as seen in cephalometric improvement.
  • Additional aligners were requested 3 months down treatment because the aligner at Stage 7 wasn't fitting well on the posterior teeth. However we realized that the subsequent pair of aligners (Stage 8) were fitting well.
  • After that continued with the same set of aligners and Additional aligners were no longer needed
  • The restorative dentist finished the case with building up the fractured 2.1

Images

Initial and final

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upper
lower
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front
left
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upper
lower
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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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