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
Treatment Summary
Patient Information
- Age: 12
- Gender: male
- Invisalign Submission 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