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

Expansion
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Retraction
,
Proclination
,
IPR
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr S. Chieh Lin, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 25 + 12 = 37
  • Mandibulary: 28 + 12 = 40

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • 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

  • This is a Class II div.II case with malocclusion, scissor bite, and mandibular retrognathia
  • Because this is a growing patient the treatment plan for orthodontic treatment is planned in 3 stages
  • First stage: Upper arch, leveling and create overjet
  • Second stage: Mandibular advancement stage with the use of Class II elastics
  • Third stage: Full alignment and finishing

Images

Initial and final

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lower
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front
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front
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Progress

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

Initial Final
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