Class II div 1
,
Open bite
,
Maxillary midline deviation
,
Midline shift
,
Crowding

Distalization
,
Leveling curve of Spee
,
Extrusion
,
Expansion
,
IPR
Courtesy of Dr. M. A. De Nicolas, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 48 + 13 = 61
  • Mandibulary: 48 + 13 = 61

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Distalization to correct Class II
  • To create a correct overbite we extruded upper and lower anterior teeth
  • We achieved Class I Molar and Canine with the use of distalization of the upper arch
  • We corrected Bolton discrepancy and increased the overjet with the help of IPR
  • Upper midline correction of 2 mm to the patient´s left, both midlines coincide
  • Class II with open bite was treated successfully with Invisalign we find that this is the best orthodontic system for vertical control

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 Final
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