Class II with moderate deep bite and crowding
Patient details
Age: 25 years Gender: female Chief complaint: Crowding in the upper and lower jaw
Diagnosis
- Skeletal tendency to class II
- Class II ecteeth and molar ratio bilaterally
- Weak crowding in the upper jaw (4 mm)
- Weak to minor crowding in the mandible (3 mm)
- Displacement of the lower midline:
5 mm
- Moderate deep bite: 4-5 mm
- Retroclined upper front teeth
Treatment plan
Number of aligners:
Top: 20 aligners (2 phases) and 2 refinements (1 phase).
Bottom: 20 aligners (2 phases) and 2 refinements (1 phase)
Total treatment time:
10 months
Treatment goal
- Alignment of the upper and lower teeth
- Achievement of a Class I relationship of the molars and canines
- Correction of the midline shift
- Correction of the deep bite and proclination of the upper front teeth
- Stabilization of overjet and overbite
Results and aftercare
Crowding resolved, minor deviation from Class I ratio of molars and canines. Overjet and overbite stabilized.
Correction of the midline shift by 4 mm. Resolution of crowding with the help of ASR. Further adjustment of overjet and overbite.
Patient photos




