Class II div 2, Crowding, Deepbite, Narrow Arches, Posterior Crossbite

IPR, Expansion, Intrusion, Proclination, Distalization, Elastics: Vertical, Elastics: Class II, Implants, Lower incisor extraction

Treatment Information

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

Diagnostic Summary

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

Use of:

  • Distalization
  • Elastics: Class II
  • Levelling Curve of Spee
  • Expansion
  • Intrusion
  • Proclination
  • IPR
  • Elastics: Vertical
  • Lower incisor extraction
  • Implants
  • Power Ridge Feature on Buccal 1.1 (UR1), Buccal 2.1 (UL1)
  • Optimized Rotation Attachment (G3) on Buccal 2.3 (UL3)
  • Optimized Root Control Attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Pressure Areas (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 1.5 (UR5)
Courtesy of Dr F. Yuan 2018

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 Archieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • 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

  • 29 months

Number of aligners

  • Maxillary: 57 + 21 = 78
  • Mandibular: 26 + 14 = 40

Aligner wear time

  • 10 days

Comments

  • 1. Distalized upper molars to correct molar relationship to Class I.
  • Tads help to increase anchorage for distalization.
  •  Extract 31 to solve crowding and Bolton discrepancy.