Class II div 2
,
Deep bite

Mandibular advancement
,
Leveling Curve of Spee
,
Expansion
,
Elastics: Class II
Courtesy of Dr W. Wierusz-Hajdacka, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen with MA

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 34 + 13 + 16 = 63
  • Mandibulary: 34 + 13 + 16 = 63

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Deepbite improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Treatment plan was to expand upper arch with derotation of upper first molar
  • MA - moved lower teeth to canine class I
  • In the Additional Aligner phase I used class II elastics to stabilize obtained result and intruded lower incisors to close posterior open bite as much as possible

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 Final
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