Class II div 1
,
Posterior crossbite
,
Increased overjet
,
Mandibular retrognathia
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Elastics: Class II
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Space Closure
,
Phase II treatment
,
Elastics: Class II in Additional Aligners
Courtesy of Dr. K. Malekian, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 42 + 18 = 60
  • Mandibulary: 42 + 19 = 61

Aligner Wear time

  • Progressive Aligner Change Interval: 1 4 Days- 10 Days- 7 Days.

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • 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
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Upper incisor and canine Alignment
  • Lower incisor spacing closure
  • Retraction of upper and lower incisors and canine
  • Posterior expansion of upper and lower arch.
  • IPR upper arch: 0.5mm at upper molars, premolars, canines, incisors
  • IPR lower arch: 0.3mm at lower premolars, canine and incisors
  • Lingual root torque of upper and lower premolars and canines: individual tooth lingual torque was planned with the ClinCheck Pro feature
  • Relative extrusion of upper and lower incisors and canines was provided by retraction of upper and lower incisors and canine.
  • Extrusion of upper and lower incisors and canines was programmed to treat and correct the upper and lower reversed curve of Spee
  • Passive intrusion ( 1-2 mm ) of upper and lower molars and premolars with aligner wear
  • Full-time aligner wear and Class II elastics

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged314
Click to compare enlarged308