Mandibular retrognathia
,
Class II div 2
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations

Mandibular advancement
,
Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion

Treatment information

  • Age: 11
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen with MA

Diagnostic Summary

  • Class II div 2
  • Narrow arches
  • Deepbite
  • Crowding
  • Rotations
  • Asymmetric arches
  • Mandibular retrognathia

Use of:

  • Distalization
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Mandibular advancement
  • Optimized rotation attachment (G3)
  • Optimized extrusion attachment (G3)
  • Power ridge feature (G3)
  • Optimized multiplane (G4)
  • Optimized root control attachments (G4)
  • Optimized deepbite attachments activated for premolar extrusion (G5)
  • Optimized support attachment on lateral incisors
  • Optimized expansion support attachment
  • Optimized retention attachment
  • Precision wings (MA)
Courtesy of Dr G. Beini 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
  • Deepbite improved
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Harmonic arches were achieved

Total treatment Time

  • 21 months

Number of aligners

  • Maxillary: 48 + 39 = 87
  • Mandibular: 48 + 11 = 59

Aligner wear time

  • 1-week

Comments

  • Full pre-MA:Deep-bite improved
  • Arches aligned and coordinated
  • Curve of Spee leveled
  •  Distalization of mandibular molars to achieve space for alignment lower arch.
  • Molar height control .