Class II div 2
,
Posterior crossbite
,
Deep bite
,
Asymmetric arches
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
TADs
,
Elastics: vertical
Courtesy of Dr. B. Wang, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 53
  • Mandibulary: 53

Aligner Wear time

  • 1 week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Distalization upper posterior teeth for about 4mm on both sides with the help of TADs
  • Power ridges were used to achieve palatally root control for upper anterior teeth during retraction
  • IPR was performed to correct Bolton discrepancy
  • Upper and lower anterior teeth were intruded to correct the anterior deep overbite
  • Intermaxillary vertical cross elastics were used to help correct buccal crossbite for 2.7 and 3.7

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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ClinCheck information

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Smartforce features

  • Optimized rotation attachment (G3) on Buccal 4.4 (LR4)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1), Buccal 4.1 (LR1)
  • Optimized Multi-plane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 2.5 (UL5)
  • Optimized deep bite attachments for anchorage (G5) on Buccal 4.5 (LR5)
Download ADF files:
Initial