Class II div 1
,
Crowding
,
Deepbite
,
Increased overjet
,
Narrow arches
,
Midline shift
,
Posterior crossbite
,
Pre-restorative
,
Rotations

Elastics: Class II
,
Mesialization
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Restorative

Treatment information

  • Age: 56
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class II div 1 relationship
  • Narrow Arches
  • Midline Shift
  • Posterior Crossbite
  • Mandibular midline deviation
  • Deepbite
  • Increased overjet
  • Crowding
  • Rotations
  • Asymmetric arches
  • Pre-Restorative

Use of:

  • Elastics: Class II
  • Mesialization
  • Levelling Curve of Spee
  • Expansion
  • Intrusion
  • IPR
  • Retraction
  • Veneers
  • Power Ridge Feature on Buccal 1.2 (UR2), Buccal 3.2 (LL2), Buccal 3.3 (LL3)
  • Optimized Rotation Attachment (G3) on Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 1.5 (UR5), Buccal 2.2 (UL2), Buccal 2.3 (UL3), Buccal 4.3 (LR3)
  • Pressure Areas (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 3.2 (LL2)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 4.5 (LR5)
Courtesy of Dr E. Herrero Vincent 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
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • 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
  • Harmonic arches were achieved

Total treatment Time

  • 10 months

Number of aligners

  • Maxillary: 17 + 14 = 31
  • Mandibular: 29 + 14 = 43

Aligner wear time

  • 1-week

Comments

  • Expansion and derotation of first upper molars.
  • Changing torques of upper and lower posterior teeth.
  • Intrusion of upper and lower incisors.
  • Class ii elastics in left side.
  • Retrusion of upper incisors ipr