Class II div 1
,
Increased overjet
,
Deep bite
,
Midline shift
,
Crowding

Leveling Curve of Spee
,
Intrusion
,
Retraction
,
First premolar extraction
,
IPR
,
Elastics: Class II in Additional Aligners
Courtesy of Dr. P. Chiou, 2020
Before picture of treatment

Treatment in the Spotlight

Dr. P. Chiou

Doctor quote: "Tracking teeth and smiling patients. This makes my days!"

Dr. P. Chiou

Treatment Summary

Patient Information

  • Age: 23
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 28 months

Number of aligners

  • Maxillary: 39 + 27 + 13 = 79
  • Mandibulary: 39 + 27 + 13 = 79

Aligner Wear time

  • 7-10 days

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Upper and lower anterior teeth were aligned and retracted with First premolar extraction solution for maximum anchorage (G6) SmartForce feature
  • Lower molars sequential mesialization was designed to avoid tipping
  • Class II elastics (3/16" 6oz) were applied from stage 21 till the final stage
  • Compliance was good throughout the whole treatment period

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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