Class II div 2
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Midline shift
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
IPR
Courtesy of Dr. E. Rothier, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 25 + 15 = 40
  • Mandibulary: 25 + 15 = 40

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Vivera

Results achieved

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • We solved the patient's dental crowding with posterior expansion
  • Dental midline deviation was corrected using asymmetric IPR only on the left side of the mandible
  • Despite the Class I molar relationship, the canine position was Class II even with this type of occlusion, we obtained an efficient anterior guide and canine guide for the patient
  • The patient was very happy with the esthetic and functional results achieved at the end of the treatment

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial
Click to compare enlarged318