Class II div 2
,
Edge to edge bite
,
Open bite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Pre-restorative

Distalization
,
Mesialization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
Restorative
Courtesy of Dr. K. sung Chung, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 45
  • Gender: female
  • Invisalign Treatment Option: Invisalign Lite

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibulary: 14 + 14 = 28

Aligner Wear time

  • 12 days

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Overjet improved
  • Significant improvement ofoverbite
  • 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
  • Harmonic arches were achieved

Comments

  • Lower crowding was resolved with expansion and IPR
  • Spaces for restorations of the peg-shaped upper lateral incisors were created with the expansion of constricted upper canines and proclination of retroclined upper incisors
  • Black triangles between lower incisors were treated with composite
  • The patient's TMJ symptoms were improved significantly during Invisalign therapy: Now, the range of mouth opening was WNL. Pain upon chewing and migraine disappeared
  • Besides the great relief of her symptoms her smile improved significantly
  • The patient is very happy with the final treatment outcome and her Invisalign treatment

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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