Class II div 1
,
Posterior crossbite
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations
,
Impacted canines
,
Spacing

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Space Closure
,
Elastics: Class II
,
Elastics: Class III
Courtesy of Dr. X. Guan, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 23
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 49 + 15 = 64
  • Mandibulary: 49 + 15 = 64

Aligner Wear time

  • 7-10days

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • 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

Comments

  • 1.3 was impacted between 1.2 and 1.1
  • We decided to extract 1.3, and achieve a full Class II molar relationship on the right side
  • Distalization was performed on the upper left and lower right
  • we used Class III elastics on the right side and Class II elastics on the left side
  • Lower anterior teeth were intruded in frog pattern

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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