Class II div 2
,
Deepbite
,
Narrow arches
,
Midline shift
,
Crowding

Phase I treatment / Interceptive
,
Distalization
,
Intrusion
,
Expansion
,
Proclination

Treatment information

  • Age: 8
  • Gender: female
  • Invisalign Treatment Option: Invisalign First

Diagnostic Summary

  • Class II div 2
  • Deepbite
  • Narrow arches
  • Midline shift
  • Crowding

Use of:

  • Phase I treatment / Interceptive
  • Distalization
  • Expansion
  • Intrusion
  • Proclination
Courtesy of Dr T. Gruelle 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
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
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved

Total treatment Time

  • 13 months

Number of aligners

  • Maxillary: 30 + 36 = 66
  • Mandibular: 30 + 36 = 66

Aligner wear time

  • 1-week

Comments

  • Invisalign First with molar first expansion followed by expansion of the C's, D's and E's
  • After the initial set of aligners, we refined to capture the ectopic in the aligners.
  • We continued to expand to allow the appropriate space for the laterals.