Class II div 1
,
Deepbite
,
Narrow arches
,
Midline shift
,
Spacing
,
Diastema

Mandibular advancement
,
Distalization
,
Mesialization
,
Intrusion
,
Expansion
,
Phase I treatment / Interceptive

Treatment information

  • Age: 10
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen with MA

Diagnostic Summary

  • Class II div 1
  • Deepbite
  • Narrow arches
  • Midline shift
  • Spacing
  • Diastema

Use of:

  • Distalization
  • Mesialization
  • Expansion
  • Intrusion
  • Phase I treatment / Interceptive
  • Mandibular advancement
  • Optimized rotation attachment (G3) on Buccal 4.d (LRd)
  • Power ridge feature (G3) on Buccal 4.2 (LR2)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 3.d (LLd)
  • Pressure areas (G5) on Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
  • Precision wings brackets MA on Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 4.6 (LR6), Buccal 3.6 (LL6), Buccal 1.e (URe), Buccal 2.e (ULe), Buccal 4.e (LRe), Buccal 3.e (LLe)
Courtesy of Dr E. Rothier 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final of Phase I
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
  • NormalĀ  overjet and overbite achieved
  • Curve of Spee leveled
  • Arches aligned and coordinated

Total treatment Time

  • 9 months

Number of aligners

  • Maxillary: 49 + 24 = 73
  • Mandibular: 49 + 24 = 73

Aligner wear time

  • 4 days

Comments

  • The chief concern for this treatment was the anterior diastema between 2.1 and 1.1
  • The closure of space was done without any modifications in the axial inclinations of the incisors, to not interfere with the eruption of 1.3 and 2.3
  • The correction of the class II was achieved using the mandibular-advancement with the Precision-wings feature