Summary

Results achieved

• Class I relationship achieved
• Functional canine guidance on both sides
• Normal  overjet and overbite achieved
• Deepbite improved
• Overjet improved
• Significant improvement of overbite
• 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 line was achieved 
• All treatment goals were achieved case
• Harmonic arches were achieved

Comments

1. Severe Crowding of Upper and Lower arches were de-crowded, leveled and aligned by gaining space by expansion. Significant amount of Molar Distalisation of 7 mm were achieved in uppers to convert the Class 2 Molar Relation to Class 1.
2. After completion of 1st phase, patient showed a mandibular retrusion. Thus on refinement phase, Mandibular advancement was achieved along with settling the occlusion to the advanced mandibular position.