Class II div 1
,
Increased overjet
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

Distalization
,
Extrusion
,
Expansion
,
Retraction
,
IPR
,
TADs
,
Elastics: Class II
Courtesy of Dr C. Carvalho, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: male
  • Invisalign Treatment Option: Invisalign Comprehensive

Number of aligners

  • Maxillary: 30
  • Mandibulary: 11

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • 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

The case had a class II on the right side. I needed to correct class II and for that, I did a sequential distalization to have predictability. To ensure that I do not lose anchorage, insert a mini implant between 2.4 and 2.6, as soon as I have finished the 2.6 distalization movement. Another interesting thing was the use of class II elastic to further increase anchorage and assist in distalization.
I did lower IPR to move the lower midline slightly to the patient's right. Finally, I moved the anterior teeth to the patient's left and corrected the upper midline and the overjet

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)
  • Optimized extrusion attachment (G3)
  • Optimized Multi-plane (G4)
  • Optimized root control attachments (G4)
  • Conventional bite ramp
Download ADF files:
Initial