Class II div 1
,
Increased overjet
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Pre-restorative

Elastics: Class II
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR

Treatment information

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

Diagnostic Summary

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

Use of:

  • Elastics: Class II
  • Leveling Curve of Spee
  • Expansion
  • Extrusion
  • Intrusion
  • IPR
  • Retraction
  • Power Ridge Feature on Buccal 4.2 (LR2), Buccal 3.1 (LL1)
  • Optimized Rotation Attachment (G3) on Buccal 1.4 (UR4), Buccal 2.5 (UL5), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized Extrusion Attachment (G3) on Buccal 1.1 (UR1), Buccal 1.3 (UR3), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized Root Control Attachments (G4) on Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.4 (LL4)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 3.5 (LL5)
Courtesy of Dr R. Lie 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 Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 12 months

Number of aligners

  • Maxillary: 24 + 13 = 37
  • Mandibular: 19 + 13 = 32

Aligner wear time

  • 1-week

Comments

  •  Transverse expansion of buccal segments of upper first molars and premolars by 2 mm each side, to achieve a rounded arch   form.
  • The anterior segments were aligned by Staging of IPR to avoid unnecessary or round tripping tooth movements.
  • The residual overjet was improved by IPR.
  • Class II elastics during the Additional aligner stage
  • Excellent compliance by patient

Retention

  • Maxillary:
  • Mandibular: