Impacted canines
,
Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

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

Treatment Summary

Patient Information

  • Age: 12
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 44 + 15 = 59
  • Mandibulary: 26 + 15 = 41

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
  • 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 I severe crowding case with large overjet and deep bite
  • Upper dental midline shift to the right side due to 1.3 impacted canine with space deficiency
  • Sequential distalization in upper arch to correct Class II to Class I
  • Expansion and IPR to gain space to prevent proclination
  • We created space through expansion and IPR in the lower arch
  • We improved the alignment of the teeth and the patient's smile and profile
  • Vivera retainers will be used for retention

Images

Initial and final

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upper
lower
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front
left
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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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