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

Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr S. Alonso del Hoyo Cabetas, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 29 + 19 = 48
  • Mandibulary: 29 + 19 = 48

Aligner Wear time

  • The time varied

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
  • Alignment of both arches through derotation
  • Aesthetic smile linewas achieved
  • Harmonic arches were achieved

Comments

  • This is a Class I case with the use of vertical elastics and sequenced distalization
  • The deep bite correction has been achieved with torque and intrusion in the maxillary incisors, correcting the curve of Spee and proclination of the lower incisors
  • The patient was very collaborative which helped with a successful treatment outcome

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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