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

Elastics: Class II
,
Distalization
,
Leveling curve of Spee
,
Expansion
,
IPR

Treatment information

  • Age: 27
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

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

Use of:

  • Distalization
  • Expansion
  • Leveling Curve of Spee
  • IPR
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.4 (LR4)
  • Optimized root control attachments (G4) on Buccal 2.4 (UL4)
  • Pressure areas (G5) on Buccal 2.4 (UL4), Buccal 4.2 (LR2), Buccal 4.5 (LR5), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Buccal 3.4 (LL4), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
Courtesy of Dr R. Bordin 2019

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
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 15 months

Number of aligners

  • Maxillary: 31 + 17 = 48
  • Mandibular: 31 + 17 = 48

Aligner wear time

  • 10 days

Comments

  • All third molars were extracted 2 weeks before the first aligner was installed, although the impression were taken with the third molars in place
  • The client started using full time Class II elastics (in hooks cut by me on the aligners) from aligner 2 until the last one, with full Class II correction in this set of aligners
  • Tooth #35 rotated almost completely in the first set of aligners
  • Minor corrections were needed with additional aligners to improve overbite, final correction of mid-line and a better alignment of upper anterior
  • The key to the success of this treatment was the late extraction of the third molars just before the beginning of using the first aligners, and full time use of Class II 1/4" elastics throughout the first set of aligners

Retention

  • Maxillary:
  • Mandibular: