Class II div 2
,
Deep bite
,
Crowding

Distalization
,
Leveling curve of Spee
,
Extrusion
,
Expansion
,
Proclination
,
IPR
,
Elastics: Class II
Courtesy of Dr. G. Thiesen, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 47
  • Mandibulary: 47

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • 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

  • Sequential distalization with the use of Class II elastics
  • The sagittal jump accounted for 20% of the sagittal correction
  • During the orthodontic treatment, the maxillary and mandibular dental arches were aligned and maxillary and mandibular incisor inclinations were improved
  • Ideal overjet was obtained at the end of treatment.
  • The ideal overbite was obtained mainly by intruding the mandibular anterior teeth
  • For the correction of the deep bite, we first leveled the Curve of Spee and further along in the treatment lower IPR was performed
  • The left maxillary lateral was extruded to match the homologous tooth at the gingival level
  • Some grinding was performed at the incisal edge at the end of 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 Final
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