Class II div 2, Crowding, Increased overjet

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

Treatment Information

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

Diagnostic Summary

  • Class II div 2 relationship
  • Increased overjet
  • Crowding

Use of:

  • Distalization
  • Elastics: Class II
  • IPR
  • Elastics: Vertical
  • Retraction
  • Power Ridge Feature on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1)
  • Optimized Rotation Attachment (G3) on Buccal 1.3 (UR3), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 4.4 (LR4)
  • Optimized Root Control Attachments (G4) on Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Pressure Areas (G5) on Lingual 1.1 (UR1), Lingual 2.1 (UL1), Lingual 3.1 (LL1)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 1.4 (UR4), Buccal 2.5 (UL5), Buccal 4.5 (LR5), Buccal 3.4 (LL4)
Courtesy of Dr M. Makino 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 Archieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors

Total treatment Time

  • 17 months

Number of aligners

  • Maxillary: 61
  • Mandibular: 61

Aligner wear time

  • 1-week

Comments

  • Left side Class II elastic 8h time wear from start to 40 stage.
  • Use of aligner chew to improve the aligner fittin.
  • For good compliance and adolescent patients, during the distal movement the aligner changed with 1 week .
  • At final stage, using vertical elastic with labial clear button between UR2 and LR3.