Class II div 1
,
Increased overjet
,
Narrow arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

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

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 39
  • Mandibulary: 39

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • The patient was very collaborative and used all the aligners and the Class II elastics correctly
  • Since the patient had low bone quality and gingival retraction due to bad occlusion, CTs were done for follow up
  • Lower canines erupted as they were aligned to improve functional canine guidance
  • Restorations were done after orthodontic treatment
  • Expansion, IPR, and distalization were done

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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