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

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

Treatment Information

  • Age: 32
  • Gender: male
  • Invisalign Treatment Option: Full

Diagnostic Summary

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

Use of:

  • Distalization
  • Elastics: Class II
  • Levelling Curve of Spee
  • Expansion
  • Intrusion
  • Proclination
  • Optimized Rotation Attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 4.4 (LR4)
  • 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 3.4 (LL4)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 3.4 (LL4)
Courtesy of Dr S. Okano 2017
Award 2017 Peer Review Award

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

Treatment Summary

Results Archieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Midlines coincident
  • 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

  • 15 months

Number of aligners

  • Maxillary: 32 + 8 = 40
  • Mandibular: 32 + 9 = 41

Aligner wear time

  • 1-week

Comments

  • This case is the maxillary teeth distalization with "ELASTIC JUMP".
  • The most important thing in this case is using classⅡ elastics during total treatment.Class II elastics (3/16, 6.5 OZ) continued using from stage 9.
  • LR7 used button cut on the lingual side for effectively improve scissorsbite.
  • Precision bite ramp was very effective to improve deepbite.