Class II div 2
,
Pre-restorative

Elastics: Class II
,
Distalization
,
Restorative

Treatment information

  • Age: 17
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 2
  • Pre-restorative

Use of:

  • Distalization
  • Elastics: Class II
  • Restorative
Courtesy of Dr R. Bordin 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • 9 months

Number of aligners

  • Maxillary: 38
  • Mandibular: 38

Aligner wear time

  • 1-week

Comments

  • Class II elastics wear during the whole treatment
  • Pattern Distalization was used to minimize anchorage loss
  • For aesthetic concerns we used retention attachments to control upper anterior.
  • Torque was added at aligner #15 at the same time we removed the lower incisor attachments
  • I planned to leave 0.6 mm of space between teeth #1.2 and 0.7 mm of space between teeth #2.2
  • For posterior restoration of both teeth we corrected with veneers.
  •  We finished the treatment with whitening, and two composite indirect veneers on laterals
  • we restored minor wear on incisal edges of both #1.1 and #2.1 with composite resin
  • All functional and aesthetic goals were achieved