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 Treatment 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

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

Initial
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