Class II div 1
,
Posterior crossbite
,
Deep bite
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Retraction
,
IPR
,
Elastics: Class II
,
Elastics: vertical
Courtesy of Dr. V. Laoamata, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 42 + 16 = 58
  • Mandibulary: 42 + 16 = 58

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera

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
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • This is a Class II case with a good profile
  • The treatment plan set up was to use sequential distalization to correct the Class II molar and canine relationship to Class I
  • Class II elastics were used with precision cuts, along with 5 mm. vertical conventional rectangular attachments on 1.3 and 2.3 to provide retention of the aligner due to the short crown
  • The Optimized rotation attachment on 3.5 was very effective for the derotation and alignment
  • Finally, the vertical elastics were used to close the posterior open bite in the additional aligner set

Images

Initial and final

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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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