Class II div 1
,
Crowding
,
Increased overjet

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

Treatment information

  • Age: 36
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 1
  • Increased overjet
  • Crowding

Use of:

  • Distalization
  • Intrusion
  • Leveling Curve of Spee
  • IPR
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.5 (UR5), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3)
  • Power ridge feature (G3) on Buccal 2.2 (UL2), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2)
  • Optimized root control attachments (G4) on Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.4 (LR4)
Courtesy of Dr B. Wang 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
  • Normal¬† overjet and overbite achieved
  • Overjet improved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 14 months

Number of aligners

  • Maxillary: 27 + 15 = 42
  • Mandibular: 27 + 15 = 42

Aligner wear time

  • 1-week

Comments

  • IPR with additional root lingual torque for lower anterior teeth to prevent gingival recession and help reduce black triangle
  • Distalization of upper posterior teeth to help achieve Class I molar relationship and normalize anterior over jet