Class II div 2
,
Posterior crossbite
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding

Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR
Courtesy of Dr. C. O'Hehir, 2017
Award 2018 Peer Review Awards
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Treatment Option: Teen

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 24 + 12 = 36
  • Mandibulary: 24 + 12 = 36

Aligner Wear time

  • 2-weeks

Retention

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

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement ofoverbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • IPR carried out in the upper and lower arches to relieve crowding and help correct arch form
    Expansion of Buccal segments
  • A mixture of intrusion and relative extrusion of the maxillary anterior teeth was carried out
  • Proclination of the lower labial segment
  • Use of power ridges, optimised attachments
  • Avoidance of round tripping of teeth

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 1.3 (UR3), Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 4.4 (LR4)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 3.4 (LL4)
Download ADF files:
Initial
Additional Aligners