Crowding
,
Class II div 2
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Rotations

Leveling Curve of Spee
,
Expansion
,
Proclination
,
IPR
,
Elastics: Class II
Courtesy of Dr M. Pedernera, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 33 + 12 + 17 = 62
  • Mandibulary: 33 + 12 + 17 = 62

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • The main concern was the crowding of the anterior teeth
  • The Class II situation was very mild I we solved this with a Virtual Jump and it worked perfectly
  • My plan was to expand both arches to improve the narrow arches situation, and to solve the crowding of the lower teeth
  • IPR was performed due to the mandibular excess of the Bolton index
  • I've explained to the patient the necessity of a gingivectomy to complete the treatment as her aesthetic expectations were very high. We performed the gingivectomay after the orthodontic treatment

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

Initial Final
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