Class II div 1
,
Open bite
,
Maxillary midline deviation
,
Crowding
,
Rotations
,
Spacing

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Elastics: Class II
Courtesy of Dr. M. Aiemkrasin, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 28
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 37 + 14 = 51
  • Mandibulary: 37 + 14 = 51

Aligner Wear time

  • 1 week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Sequential distalization was performed in the upper arch to achieve molar and canine class I relationship
  • Use of class II elastics to reinforce anchorage and allow the maxillary incisors to move backward
  • Use of 3mm vertical rectangular attachments at upper canines to increase aligner retention when used with precision cut
  • Use of Optimized Multi-tooth extrusion attachments at Upper 2-2 to extrude upper anterior teeth to correct the open bite
  • Invisalign clear aligner is effective for Class II division 1 non-extraction protocol treated with sequential molar distalization to achieve a great result

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck treatment plan

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Smartforce features

  • Optimized rotation attachment (G3) on Buccal 2.5 (UL5), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 1.5 (UR5)
  • Optimized Multi-tooth extrusion attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Pressure areas (G5) on Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
Download ADF files:
Initial
Additional Aligners