Class II div 2
,
Posterior crossbite
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Midline shift
,
Rotations
,
Spacing

Phase II treatment
,
Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr S. Palma Moya, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 38
  • Mandibulary: 38

Aligner Wear time

  • 10 days

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement ofoverbite
  • Midlines coincident
  • 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

  • To achieve this result we distalized the first quadrant
  • To resolve the class II on the left side we mesialized the third quadrant with the use of elastics class II + virtual jump.
  • We finished the treatment with fixed retainers.

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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