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 Treatment 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

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

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 Final
Click to compare enlarged314
Click to compare enlarged308