Class II div 2, Crowding, Deepbite, Narrow arches, Midline shift, Posterior crossbite, Rotations

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

Treatment Information

  • Age: 37
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

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

Use of:

  • Elastics: Class II
  • Levelling Curve of Spee
  • Expansion
  • Extrusion
  • Intrusion
  • Proclination
  • IPR
  • Elastics: Vertical
  • Power Ridge Feature on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 4.1 (LR1), Buccal 3.1 (LL1)
  • Optimized Extrusion Attachment (G3) on Buccal 1.2 (UR2)
  • Optimized Root Control Attachments (G4) on Buccal 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Pressure Areas (G5) on Buccal 1.1 (UR1)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 4.6 (LR6), Buccal 3.6 (LL6)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
Courtesy of Dr. M. Clare 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
right
left

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
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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
  • Harmonic arches were achieved

Total treatment Time

  • 30 months

Number of aligners

  • Maxillary: 30 + 20 + 15 = 65
  • Mandibular: 30 + 20 + 15 = 65

Aligner wear time

  • 1-week

Comments

  • Arch broadening, IPR, asymmetric CL II elastics
  • Normalisation of the upper and lower labial segments.
  • Flattening of the Curve of Spee
  • intrusion of the lower labial segment by 4mm