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

Distalization
,
Mesialization
,
Leveling Curve of Spee
,
Intrusion
,
Retraction
,
Second premolar extraction
,
Space Closure
,
Elastics: Class II
Courtesy of Dr. X. Zhang, 2019
Award 2020 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 34 months

Number of aligners

  • Maxillary: 60 + 15 = 75
  • Mandibulary: 49 + 15 = 64

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

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

  • To correct the dental class II relationship we distalized the upper molars to simultaneously correct the molar crossbite
  • Class II elastics were used in all stages of the treatment to offer anchorage for upper distalization and assistance of lower molar mesialization
  • We placed buttons on the lingual surfaces of teeth 1.4, 2.4, 3.7 and 4.7 after aligner 25 to help correct the rotation of teeth 1.4 and 2.4

Images

Initial and final

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upper
lower
right
front
left
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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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