Class II div 1
,
Deep bite
,
Crowding

Distalization
,
IPR
,
Space Closure
,
Phase II treatment
,
Elastics: Class II
Courtesy of Dr. Schupp, 2011
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 20 + 10 = 30
  • Mandibulary: 21 + 10 = 31

Retention

  • Maxillary: Fixed lingual retainer 3-3  
  • Mandibular: Removable retainer

Results achieved

  • Class I relationship achieved
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated

Comments

  • Pre-Treatment distalization was done with a Carrier distalizer which can be used in Class II treatments
  • Attachments bonded on lower canines and premolars for anchorage, as well as hooks and buttons on maxillary canines and mandibular first molars for the class II elastics
  • During refinement, optimal canine relationship on the right side was achieved
  • To avoid undesired rotation of the upper canines, additional rectangular vertical attachments bonded on teeth 1.3 (UR3) and 2.3 (UL3)
  • Refinement was made with new photos and new impressions

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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