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

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
,
Implants
,
Overtreatment
,
Elastics: vertical
Courtesy of Dr S. Zhou, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 42 + 12 + 13 = 67
  • Mandibulary: 42 + 12 + 13 = 67

Aligner Wear time

  • 1-week

Results achieved

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

Comments

  • First, we distalized 4.8 to create more space and then aligned the 4.7
  • We performed 0.3mm IPR on 1.1,2.1,3.1,3.2,41,4.2
  • Vertical elastics were used to help to correct the scissors bite

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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