Class II div 1
,
Crowding
,
Deepbite
,
Rotations

Elastics: Class II
,
Mesialization
,
Expansion
,
IPR

Treatment information

  • Age: 50
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 1 relationship
  • Narrow arches
  • Midline shift
  • Mandibular midline deviation
  • Deepbite
  • Crowding
  • Rotations
  • Asymmetric arches

Use of:

  • Elastics: Class II
  • Mandibular Advancement
  • Mesialization
  • Levelling Curve of Spee
  • Expansion
  • IPR
  • Pre-Restorative
  • Power ridge on Buccal 1.1 (UR1), Lingual 1.1 (UR1), Buccal 2.1 (UL1), Lingual 2.1 (UL1)
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 3.4 (LL4)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 2.2 (UL2), Buccal 2.3 (UL3), Buccal 4.4 (LR4)
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

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
  • 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

  • 19 months

Number of aligners

  • Maxillary: 23 + 26 = 49
  • Mandibular: 29 + 26 = 55

Aligner wear time

  • initial 14 days, additional 7 days

Comments

  • To achieve this result we have used the full invisalign treatment.
  • We mesialized the lower arch using locatellis and class II elastics.
  • We used fixed retainers at the end of the treatment and finished with whitening.