Class II div 1
,
Crowding

Elastics: Class III
,
Mesialization
,
Retraction
,
Other extraction
,
First premolar extraction
,
IPR

Treatment information

  • Age: 15
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 1
  • Crowding

Use of:

  • Mesialization
  • Extraction
  • Retraction
  • First Premolar extraction
  • IPR
  • Elastics: Class III
  • Optimized rotation attachment (G3) on Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5), Buccal 3.5 (LL5)
  • Pressure areas (G5) on Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
Courtesy of Dr M. Makino 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

Treatment summary

Results Achieved

  • NormalĀ  overjet and overbite achieved
  • Overjet improved
  • Midlines coincident
  • Arches aligned and coordinated

Total treatment Time

  • 20 months

Number of aligners

  • Maxillary: 38 + 17 + 12 = 67
  • Mandibular: 38 + 17 = 55

Aligner wear time

  • 10 days

Comments

  • For canine relationship Class II, premolar extraction plan was chosen.
  • Second premolar extraction and mandibular molar distal movement to achieve molar relationship full Class II.