Class II div 1
,
Increased overjet
,
Deepbite
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Distalization
,
Intrusion
,
Retraction
,
IPR

Treatment information

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

Diagnostic Summary

  • Class II div 1 relationship
  • Midline Shift
  • Maxillary midline deviation
  • Deepbite
  • Increased overjet
  • Crowding
  • Rotations
  • Asymmetric arches

Use of:

  • Distalization
  • Elastics: Class II
  • Levelling Curve of Spee
  • Intrusion
  • IPR
  • Retraction
  • Optimized Rotation Attachment (G3) on Buccal 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized Extrusion Attachment (G3) on Buccal 1.2 (UR2)
  • Optimized Root Control Attachments (G4) on Buccal 1.3 (UR3)
  • Pressure Areas (G5) on Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 1.4 (UR4)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
Courtesy of Dr. G. Zanardi 2017

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
Download ADF files
Initial

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 16 months

Number of aligners

  • Maxillary: 31
  • Mandibular: 31

Aligner wear time

  • 2-weeks

Comments

  • Class I relationship was achieved trhough the performance of IPR and mainly by the use of Class II elastics on the left side.
  • Functional canine guidance were achieved on both sides and it was evident a great imporvement of overjet and overbite, with a better axial inclination of incisors (chief complaint).

Retention

  • Maxillary: Other Clear
  • Mandibular: Fixed/Bonded