Class II div 2, Crowding, Deepbite, Midline Shift, Rotations

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

Treatment Information

  • Age: 39
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class II div 2 relationship
  • Midline Shift
  • Mandibular midline deviation
  • Deepbite
  • Crowding
  • Rotations
  • Asymmetric arches

Use of:

  • Distalization
  • Elastics: Class II
  • Levelling Curve of Spee
  • Expansion
  • Intrusion
  • Proclination
  • IPR
  • Elastics: Vertical
  • Power Ridge Feature on Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized Rotation Attachment (G3) on Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.3 (LL3)
  • Optimized Root Control Attachments (G4) on Buccal 1.3 (UR3), Buccal 2.3 (UL3)
  • Precision Bite Ramp (G5) on Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Pressure Areas (G5) on Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 1.5 (UR5)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 3.4 (LL4)
Courtesy of Dr. T. He 2017

Photos

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

ClinCheck Treatment Plan

video anterior
video right-left
video upper-lower

Treatment Summary

Results Archieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Deepbite improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved

Total treatment Time

  • 24 months

Number of aligners

  • Maxillary: 36 + 14 + 15 = 65
  • Mandibular: 36 + 14 + 15 = 65

Aligner wear time

  • 1-week

Comments

  • Good periodontal health monitoring.
  • Rigorous design and precise plan changes.
  • Good doctor-patient communication.
  • Good clinical monitoring.
  • The patients with good cooperation.