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

Elastics: Class II
,
Leveling curve of Spee
,
Intrusion
,
Expansion

Treatment information

  • Age: 36
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

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

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 2.5 (UL5), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Lingual 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Optimized root control attachments (G4) on Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 3.5 (LL5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.4 (UR4), Buccal 2.4 (UL4)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
Courtesy of Dr H. Ji 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
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Curve of Spee levelled

Total treatment Time

  • 13 months

Number of aligners

  • Maxillary: 18 + 11 = 29
  • Mandibular: 18

Aligner wear time

  • At first Tx., 2 week/each. At additional aligner, 1 week/each

Comments

  • Precision bite ramp on lingual surface of upper anterior teeth and for helping the intrusion of the lower anterior teeth which worked well.

Retention

  • Maxillary:
  • Mandibular: