Class II div 1
,
Deepbite
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding
,
Rotations
,
Impacted canines

Phase II treatment
,
Elastics: Class II
,
Mandibular advancement
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion

Treatment information

  • Age: 17
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 1
  • Mandibular midline deviation
  • Maxillary midline deviation
  • Deepbite
  • Crowding
  • Rotations
  • Impacted canines

Use of:

  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Elastics: Class II
  • Phase II treatment
  • Mandibular advancement
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Lingual 1.4 (UR4), Buccal 2.5 (UL5), Lingual 2.3 (UL3), Lingual 2.4 (UL4)
  • Optimized root control attachments (G4) on Lingual 1.3 (UR3), Buccal 2.4 (UL4)
Courtesy of Dr C. Fournier 2019
Award 2018 Summit Shoot out

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
  • Deepbite improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • 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

  • 28 months

Number of aligners

  • Maxillary: 61 + 44 + 25 + 16 = 146
  • Mandibular: 61 + 43 + 25 + 16 = 145

Aligner wear time

  • begin 8 days then 5

Comments

  • Treat simultaneously arch coordination A-P and transverse with an orthopedic device MA appliance (Herbst)
  • In the mean time we treated tooth 23 and create space for blocked out 42 with invisalign
  • I have used lingual attachments on upper anterior for best aesthetics.