Class II div 2
,
Increased overjet
,
Open bite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Extrusion
,
Expansion
,
Elastics: Class III
,
Elastics: vertical
Courtesy of Dr. S. Okano, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 22
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 23 + 51 = 74
  • Mandibulary: 23 + 51 = 74

Aligner Wear time

  • 5 - 7 days

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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 improve the open bite we aligned and coordinated the arches, which proved to be very effective
  • The initial treatment plan aimed at mandibular advancement to improve Class II
  • The rotations solved the occlusal interference
  • To further improve Class II we used sequential distalization in the additional aligners
  • We continued using Class II elastics (3/16 inch, 4.5 or 6.5 OZ)  from stage 1 in the additional aligners

Images

Initial and final

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upper
lower
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front
left
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upper
lower
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front
left

Progress

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lower
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front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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