Class II div 1, Crowding, Increased overjet, Narrow arches, Openbite, Rotations

Expansion, Elastics: Class II

Treatment information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class II div 1 relationship
  • Narrow Arches
  • Edge to edge bite
  • Increased overjet
  • Openbite
  • Crowding
  • Rotations

Use of:

  • Elastics: Class II
  • Expansion
  • Optimized Extrusion Attachment (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1)
  • Precision Bite Ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Pressure Areas (G5) on Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 3.1 (LL1)
Courtesy of Dr K. Tokuhisa 2018

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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 26 months

Number of aligners

  • Maxillary: 30 + 15 + 13 = 58
  • Mandibular: 20 + 15 + 13 = 48

Aligner wear time

  • 2-weeks

Comments

  • Elastic Jump
  • ClassⅡ elastic was used only night time
  • extracted four wisdom teeth
  • optimized extrusion attachment is effectiveness
  • Last refinement aligners was used for treatment of horizontal bite plane.