Class II div 2
,
Increased overjet
,
Deepbite
,
Narrow arches
,
Posterior crossbite
,
Midline shift
,
Crowding
,
Rotations

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

Treatment information

  • Age: 20
  • Gender: female
  • Invisalign Treatment Option: Full

Diagnostic Summary

  • Class II div 2 relationship
  • Narrow Arches
  • Midline Shift
  • Posterior Crossbite
  • Deepbite
  • Increased overjet
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Elastics: Class II
  • Leveling Curve of Spee
  • Expansion
  • IPR
  • Power Ridge Feature on Buccal 1.1 (UR1), Buccal 2.2 (UL2)
  • Optimized Rotation Attachment (G3) on Buccal 2.3 (UL3), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 2.1 (UL1)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 4.4 (LR4)
Courtesy of Dr K. Ozaki 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
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Curve of Spee levelled
  • Arches aligned and coordinated

Total treatment Time

  • 15 months

Number of aligners

  • Maxillary: 59 + 10 = 69
  • Mandibular: 26 + 10 = 36

Aligner wear time

  • 1-week

Comments

  • Class â…¡ elastics used for distalization of upper molar.
  • Distalization achieved without extraction UR8 and UL8.
  • Aligner wear 22 hours per day, with aligner chewies.

Retention

  • Maxillary:
  • Mandibular: