Class II div 1, Increased overjet, Deep bite, Narrow arches, Asymmetric arches, Maxillary midline deviation, Mandibular midline deviation, Midline shift, Crowding, Rotations
Elastics: Class II
, Leveling Curve of Spee
, Extrusion
, Intrusion
, Expansion
, Retraction
, Lower incisor extraction
, Other extraction
, IPR
, Space Closure
, Elastics: Class II in Additional Aligners
Courtesy of Dr S. Chieh Lin,
2019
Treatment Summary
Patient Information
- Age: 46
- Gender: female
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 16 months
Number of aligners
- Maxillary: 20 + 23 + 17 = 60
- Mandibulary: 24 + 19 + 13 = 56
Aligner Wear time
- 1-week
Results achieved
- Class I relationship achieved
- Functional canine guidance on both sides
- Normal overjet and overbite achieved
- Deepbite improved
- Overjet improved
- Significant improvement ofoverbite
- Significant improvement of overjet
- Proper axial inclination of incisors
- Curve of Spee leveled
- Arches aligned and coordinated
- Alignment of both arches through derotation
- Arch form improved
- Aesthetic smile linewas achieved
- All treatment goals were achieved case
- Harmonic arches were achieved
Comments
- Class II div I malocclusion with crowding case
- Patients chief complaint was her protrusive profile with flared out incisors
- The Treatment plan was to extract periodontal compromise on 4.1 to resolve lower crowding and do upper IPR for Bolton's discrepancy and retract U2-2 for profile improvement
- Jump at the end in ClinCheck design for Class II correction.
- Class II elastics were used for the jump
- Vivera retainer