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 Treatment 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

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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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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