Class II div 2
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Crowding

Elastics: Class II
,
Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion

Treatment information

  • Age: 12
  • Gender: female
  • Invisalign Treatment Option: Teen

Diagnostic Summary

  • Class II div 2 relationship
  • Mandibular Retrognathia
  • Narrow Arches
  • Deepbite
  • Crowding

Use of:

  • Distalization
  • Elastics: Class II
  • Leveling Curve of Spee
  • Expansion
  • Intrusion
  • Optimized Rotation Attachment (G3) on Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4)
  • Optimized Multiplane Feature (G4) on Buccal 1.2 (UR2)
  • Optimized Root Control Attachments (G4) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 3.3 (LL3)
  • Conventional Bite Ramp on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
Courtesy of Dr A. Moullas 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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

  • 14 months

Number of aligners

  • Maxillary: 41
  • Mandibular: 41

Aligner wear time

  • 1-week

Comments

  • Mandibular growth modification and bite jump

Retention

  • Maxillary:
  • Mandibular: