Class II div 1
,
Increased overjet
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Rotations

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

Treatment information

  • Age: 23
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 1
  • Narrow arches
  • Midline shift
  • Maxillary midline deviation
  • Deepbite
  • Increased overjet
  • Crowding
  • Rotations
  • Asymmetric arches

Use of:

  • Distalization
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Elastics: Class II
  • Class II Elastics in Additional Aligners
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 3.4 (LL4)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Lingual 3.1 (LL1)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 2.5 (UL5)
Courtesy of Dr H. Garcia Alatorre 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
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
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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

  • 16 months

Number of aligners

  • Maxillary: 35 + 14 = 49
  • Mandibular: 13 + 14 = 27

Aligner wear time

  • 10 Days

Comments

  • Sequential Distalization Planned plus distal rotation of upper molars, combined with class II elastics from 7´s to upper 3´s to help solving the AP problem
  • Expansion of both arches was crucial for correction
  • Anterior intrusion of lower incisors and slight extrusion of lower pre molars to level the curve of Spee
  • Smile arc is improved, the patient likes to show her smile again and better profile