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20-month Spark treatment of a Class II teen malocclusion

Front teeth stuck out and were injured twice during basketball.

City
New Delhi
Duration
20 months
Age group
13-17
Cost band
₹1.9L to ₹2.4L (illustrative)

Written by GoInvisalign Editorial

Medically reviewed by Dr. Karan Sethi

MDS Orthodontics

Updated 1 Jul 2026·6 min read·Evidence-based, patient-friendly

Clinical summary

Patient overview

Clinical findings

  • 6 mm overjet
  • 4 mm overbite
  • Class II molar and canine relationship

Diagnosis

Class II division 1 malocclusion in a late-adolescent growing patient.

Treatment objectives

  • Reduce overjet to 2 mm
  • Establish Class I canine relationship
  • Protect anterior teeth during contact sport

Treatment plan

  • 48 aligner stages with 20-hour compliance target
  • Class II elastics from month 2
  • Custom sports mouthguard

Digital workflow

Technology used

  • Spark Approver
  • Class II elastics

Before & after

Documented transformation

Drag the handle to compare month 0 with the debond image. Individual results vary.

After treatment: Ananya (16) — spark case study. 6 mm overjet reduction and Class I canine relationship achieved at debond. Long-term stability depends on retention and continued growth. — spark · 20 month treatment · New Delhi
Before treatment: Ananya (16) — spark case study
BeforeAfter
Ananya (16) — spark case study6 mm overjet reduction and Class I canine relationship achieved at debond. Long-term stability depends on retention and continued growth. — spark · 20 month treatment · New Delhi

Photographs represent one individual case. Images are not a guarantee of future results. Outcomes vary with diagnosis, biology, treatment plan, compliance and retention. A qualified orthodontist must plan every case individually.

Treatment timeline

Milestones

  1. Month 0

    Records and mouthguard

    Baseline records; custom mouthguard delivered.

  2. Month 10

    Mid-treatment review

    Overjet reduced to 3 mm; elastic wear reinforced.

  3. Month 20

    Debond and retention

    Full correction; retention protocol initiated.

Progress gallery

Documented visits

  • Profile view showing 6 mm overjet before treatment
    Month 0profile-right
  • Profile view showing reduced overjet after treatment
    Month 20profile-right

Photographs represent one individual case. Images are not a guarantee of future results. Outcomes vary with diagnosis, biology, treatment plan, compliance and retention. A qualified orthodontist must plan every case individually.

Outcome

Outcome summary

6 mm overjet reduction and Class I canine relationship achieved at debond. Long-term stability depends on retention and continued growth.

Retention plan: Bonded 3-3 upper and lower retainers plus night-time trays reviewed until age 20.

Patient experience

In the patient's words

"I could still play basketball without any restrictions."

Frequently asked

About this case

  • Yes, brand-specific teen protocols with compliance indicators and eruption tabs make aligners a reasonable option in many cases. Suitability is diagnosed case-by-case.

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