Class II div 1
,
Edge to edge bite
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Posterior crossbite
,
Asymmetric arches
,
Crowding
,
Rotations

Distalization
,
Elastics: Class II in Additional Aligners
,
Mesialization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
Other extraction
Courtesy of Dr. D. Tung Vu, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 27 + 13 + 33 = 73
  • Mandibulary: 27 + 13 + 33 = 73

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • 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

  • We corrected the transverse plane first
  • We corrected scissor bites and expanded the jaws to unlock occlusal
  • When the mandibular was released, AP position changed significantly

Images

Initial and final

InitialFinal
Before picture of treatment
After picture of treatment
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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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upper
lower
right
front
left

Radiographs

Initial Final
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