Class II div 1, Crowding, Narrow arches, Midline shift, Rotations

IPR, Expansion, Distalization, Elastics: Class II, TADs

Treatment information

  • Age: 30
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class II div 1 relationship
  • Mandibular Retrognathia
  • Narrow Arches
  • Midline Shift
  • Crowding
  • Rotations
  • Asymmetric arches

Use of:

  • Distalization
  • Elastics: Class II
  • Expansion
  • IPR
  • TADs
  • Power Ridge Feature on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized Rotation Attachment (G3) on Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Optimized Root Control Attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 3.3 (LL3)
  • Pressure Areas (G5) on Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 4.5 (LR5), Buccal 3.5 (LL5)
Courtesy of Dr S. Palma Moya 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 27 months

Number of aligners

  • Maxillary: 53 + 39 = 92
  • Mandibular: 54 + 39 = 93

Aligner wear time

  • initial for 10 days, additional aligners for 7 days

Comments

  • To treat this patient we have used Invisalign full with micro-implants in the upper part, between 1.6 and 1.7; and 2.6 and 2.7.
    Also gingivectomies in 1.3, 1.2 and 1.1.
  • We finished the treatment with fixed retainers and Vivera.