Class II div 2, Crowding, Rotations

Extrusion, Distalization, Space Closure, Retraction, Mesialization

Treatment Information

  • Age: 22
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class II div 2 relationship
  • Crowding
  • Rotations
  • Asymmetric arches

Use of:

  • Distalization
  • Mesialization
  • Levelling Curve of Spee
  • Extrusion
  • First Premolar extraction
  • Space Closure
  • Retraction
  • Power Ridge Feature on Lingual 1.2 (UR2)
  • Optimized Root Control Attachments (G4) on Buccal 1.3 (UR3), Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
Courtesy of Dr. H. Kim Chuan 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

Treatment Summary

Results Archieved

  • Class I relationship achieved
  • Normal¬† overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 21 months

Number of aligners

  • Maxillary: 0 + 42 = 42
  • Mandibular: 0 + 42 = 42

Aligner wear time

  • 10-14 days

Comments

  • Extraction of 14, 24, 34 , 44 was done and space utilised for retraction of anterior teeth and crowding correction
  • Distalisation of upper and lower canines was done first before en mass retraction of anterior teeth and alignment of anterior teeth at the same time.
  • Maximum anchorage prescribed for upper arch while lower posteriors was mesialised until optimum occlussion achieved.