Class II div 1
,
Mandibular midline deviation
,
Crowding
,
Rotations

Elastics: Class II
,
Mesialization
,
Retraction
,
First premolar extraction
,
Other extraction
Courtesy of Dr. J. Xiao, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 32 months

Number of aligners

  • Maxillary: 37 + 51 = 88
  • Mandibulary: 37 + 51 = 88

Aligner Wear time

  • initial aligners 2 weeks, additional aligners 7-10 days

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • The Invisalign aligners was a good choice for space closure and alignment, but the vertical relationship was at risk
  • At the end of the initial treatment, we could see an overbite
  • We used one refinement to intrude the incisors and simultaneous overcorrection of anterior
  • Power ridges were used to control the inclination of the upper central incisors and lower incisors
  • After the refinement, all treatment goals were achieved and the patient gained a beautiful profile

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
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front
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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