Class II div 2, Crowding, Narrow Arches, Midline Shift, Rotations

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

Treatment Information

  • Age: 50
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class II div 2 relationship
  • Narrow Arches
  • Midline Shift
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Elastics: Class II
  • Levelling Curve of Spee
  • Expansion
  • Intrusion
  • Proclination
  • IPR
  • Power Ridge Feature on Buccal 2.1 (UL1), Buccal 4.2 (LR2)
  • Optimized Rotation Attachment (G3) on Buccal 2.4 (UL4), Buccal 2.5 (UL5), Lingual 2.5 (UL5)
  • Optimized Multiplane Feature (G4) on Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1)
  • Precision Bite Ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 1.4 (UR4), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
Courtesy of Dr. E. Rothier 2017

Photos

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

Radiographs

ClinCheck Treatment Plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial
Additional Aligners

Treatment Summary

Results Archieved

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Curve of Spee levelled
  • All treatment goals were achieved case

Total treatment Time

  • 14 months

Number of aligners

  • Maxillary: 15 + 14 = 29
  • Mandibular: 15 + 14 = 29

Aligner wear time

  • 1-week

Comments

  • Patient has a class II of the left side and midline deviation. The patient did not want to use elastics fulltime, so we decided to solve the crownding with IPR, expansion, and elastics at night for anchorage. We needed additional aligners to solve some small residual rotations. In the first set of aligners we changed it every 2 weeks, and we did a 1 week change in the additional aligners.