Mandibular midline deviation
,
Class II div 2
,
Crowding
,
Deepbite
,
Midline shift
,
Rotations

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

Treatment information

  • Age: 29
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 2
  • Midline shift
  • Mandibular midline deviation
  • Deepbite
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 4.3 (LR3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 2.3 (UL3), Buccal 2.5 (UL5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.5 (UR5)
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
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 18 months

Number of aligners

  • Maxillary: 36 + 21 = 57
  • Mandibular: 36 + 21 = 57

Aligner wear time

  • 1 week

Comments

  • Distalization of upper posterior teeth with the help of Class II elastics to achieve Class I molar and canine relationships
  • IRP helped resolving dental crowding and reduced the periodontal black triangle
  • Root lingual torque was added to control the position of the upper and lower anterior teeth roots and  prevent any further gingival recession or periodontal damage