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

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: Class II
Courtesy of Dr K. Sung Chung, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 51
  • Gender: female
  • Invisalign Treatment Option: Invisalign Lite

Total Treatment Time

  • 10 months

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • Initial aligner changed at 2 weeks for a month then changed at 10 days interval.

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • 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
  • Harmonic arches were achieved

Comments

  • Class II canine and molar relationships were corrected to class I relationship with distalization of upper molars and class II elastics
  • Overjet was significantly reduced by retraction of upper incisors
  • Deep bite was reduced by significant intrusion of upper and lower incisors and a slight extrusion of lower premolars
  • Bolton maxillary excess was decreased by performing IPR in the maxillary arch
  • Lip protrusion was reduced by retraction of upper incisors
  • A new implant crown was placed on 36 ( lower left first molar) after orthodontic treatment
  • The reason why clinical outcome didn't have an exact match with the ClinCheck is that I over-engineered ClinCheck plan, especially over-treated deep overbite in this case. Patient was very satisfied with the treatment outcome

Images

Initial and final

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lower
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front
left
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lower
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front
left

Progress

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lower
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front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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