Class II div 2
,
Deepbite
,
Narrow arches
,
Posterior crossbite
,
Midline shift
,
Crowding

Elastics: Class II
,
Expansion
,
Retraction
,
First premolar extraction
,
IPR

Treatment information

  • Age: 24
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class II div 2 relationship
  • Narrow Arches
  • Midline Shift
  • Posterior Crossbite
  • Deepbite
  • Crowding

Use of:

  • Elastics: Class II
  • Expansion
  • IPR
  • First Premolar extraction
  • Retraction
  • Power Ridge Feature on Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • 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 4.2 (LR2), Lingual 4.3 (LR3)
Courtesy of Dr K. Tokuhisa 2018
Award 2019 Peer Review Award

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
Additional Aligners

Treatment summary

Results Achieved

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Deepbite 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
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 34 months

Number of aligners

  • Maxillary: 38 + 29 = 67
  • Mandibular: 38 + 19 = 57

Aligner wear time

  • 2-weeks

Comments

  • Maxilla both first premolars extraction
  • Mandibular expansion IPR
  • Attachment start from stage 3