Class II div 2
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr M. Simonetta, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 21 months

Number of aligners

  • Maxillary: 33 + 22 + 16 = 71
  • Mandibulary: 18 + 15 + 16 = 49

Aligner Wear time

  • Initial 10 days, refinements 7 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 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

  • Although the patient had a severe class II and was at the end of her growth, she refused to extract or perform surgery
  • All treatment was performed to eliminate occlusal interference, such as deep bite and contraction of the upper arch, then opening the bite and expanding the upper arch.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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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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