Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
IPR
Courtesy of Dr E. Rothier, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 22 + 10 + 25 = 57
  • Mandibulary: 24 + 10 + 25 = 59

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee levelled
  • Alignment of both arches through derotation
  • All treatment goals were achieved case

Comments

  • Patient has a class II that was corrected with derotation of molars and posterior upper IPR in both sides, so we would need less use of attachments.
  • Intermaxillary elastics were used for anchorage control of space closure and retraction of 1.3 and 2.3.
  • Correction of overjet was obtained through posterior IPR and expansion to open space for retraction.
  • Correction of exaggerated overbite was obtained through incisor and lower canine intrusion.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

ClinCheck treatment plan

Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged

Smartforce features

  • Power Ridge Feature on Buccal 4.1 (LR1), Buccal 3.2 (LL2)
  • Optimized Rotation Attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized Extrusion Attachment (G3) on Buccal 2.4 (UL4), Buccal 4.4 (LR4)
  • Optimized Root Control Attachments (G4) on Buccal 3.3 (LL3)
  • 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 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2)