Class II div 2
,
Edge to edge bite
,
Narrow arches
,
Crowding
,
Rotations

Elastics: Class II
,
Distalization
,
Expansion
,
IPR
,
TADs

Treatment information

  • Age: 42
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 2
  • Narrow arches
  • Edge to edge bite
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Expansion
  • IPR
  • Elastics: Class II
  • TADs
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 4.1 (LR1), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 2.5 (UL5), Buccal 4.5 (LR5)
Courtesy of Dr S. Palma Moya 2018

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Midlines coincident
  • 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

  • 23 months

Number of aligners

  • Maxillary: 40 + 16 + 10 = 66
  • Mandibular: 40 + 16 + 10 = 66

Aligner wear time

  • initial 14 days, refinament 7 days

Comments

  • To achieve this result, we uses invisalign with expansion and distalization of the second quadrant using a superior micro screw
  • IPR on lower arch only
  • Elastic class II on the left side.