Class II div 1
,
Increased overjet
,
Open bite
,
Mandibular midline deviation

Elastics: Class II
,
Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Elastics: Class II in Additional Aligners
,
Elastics: vertical
Courtesy of Dr. S. Chiung Hua Huang, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 8 months

Number of aligners

  • Maxillary: 17 + 12 = 29
  • Mandibulary: 17 + 12 = 29

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement ofoverbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • Harmonic arches were achieved

Comments

  • Sequential intrusion of upper posterior teeth with the use of Class II elastics from manual precision cuts on upper canines to buttons on lower 2nd molars
  • The use of Class II elastics created the upper distalization and Class II elastic jump t
  • We continued sequential intrusion of posterior teeth with the extrusion of lower anterior teeth, and vertical triangular elastics. from upper canine to lower canine and 1st premolar in additional aligner phase to settle occlusion.

Images

Initial and final

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upper
lower
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front
left
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upper
lower
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front
left

Progress

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

Initial Final
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