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

Distalization
,
Leveling curve of Spee
,
Expansion
,
IPR
,
Elastics: Class II
Courtesy of Dr R. Bordin, 2019
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 15 months

Number of aligners

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

Aligner Wear time

  • 10 days

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 linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

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

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck treatment plan

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Smartforce features

  • 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)
Download ADF files:
Initial
Additional Aligners