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 Treatment 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

Click to compare enlarged
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