Class II div 2
,
Edge to edge bite
,
Deepbite
,
Midline shift
,
Crowding

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

Treatment information

  • Age: 26
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class II div 2 relationship
  • Midline Shift
  • End to end bite
  • Deepbite
  • Crowding

Use of:

  • Distalization
  • Intrusion
  • Extrusion
  • Levelling Curve of Spee
  • Expansion
  • Proclination
  • IPR
  • Elastics: Class II
  • Power Ridge Feature on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 3.1 (LL1)
  • Optimized Rotation Attachment (G3) on Buccal 4.3 (LR3), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 1.5 (UR5), Buccal 2.2 (UL2), Buccal 2.4 (UL4), Buccal 4.4 (LR4)
  • Pressure Areas (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 4.5 (LR5)
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
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Midlines coincident
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 20 months

Number of aligners

  • Maxillary: 50 + 38 = 88
  • Mandibular: 58 + 19 = 77

Retention

  • Maxillary: Invisalign Aligner
  • Mandibular: Invisalign Aligner