Class II div 1
,
Anterior crossbite
,
Narrow arches
,
Midline shift
,
Crowding

Elastics: Class II
,
Distalization
,
Extrusion
,
Expansion
,
Proclination

Treatment information

  • Age: 14
  • Gender: female
  • Invisalign Treatment Option: Teen

Diagnostic Summary

  • Class II div 1 relationship
  • Narrow Arches
  • Midline Shift
  • Anterior Crossbite
  • Mandibular midline deviation
  • Crowding

Use of:

  • Distalization
  • Extrusion
  • Levelling Curve of Spee
  • Expansion
  • Proclination
  • Elastics: Class II
  • Optimized Rotation Attachment (G3) on Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
  • Optimized Extrusion Attachment (G3) on Buccal 1.2 (UR2)
  • Optimized Root Control Attachments (G4) on Buccal 3.3 (LL3)
Courtesy of Dr. K. Ojima 2016

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left
Click to compare enlarged
upper
Progress
lower
right
front
left

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Significant improvement of¬†overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 18 months

Number of aligners

  • Maxillary: 59 + 30 = 89
  • Mandibular: 37 + 15 = 52

Retention

  • Maxillary: Invisalign Aligner
  • Mandibular: Invisalign Aligner