Class II div 1
,
Increased overjet
,
Narrow arches
,
Crowding
,
Rotations

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

Treatment information

  • Age: 26
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Diagnostic Summary

  • Class II div 1
  • Increased overjet
  • Narrow arches
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Expansion
  • Leveling Curve of Spee
  • IPR
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.1 (UL1)
  • Optimized deepbite attachments activated for premolar extrusion (G5) on Buccal 2.4 (UL4)
Courtesy of Dr C. Capan 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
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

  • 18 months

Number of aligners

  • Maxillary: 37
  • Mandibular: 27 + 10 = 37

Aligner wear time

  • Initial aligners 2 weeks , additional aligners 10 days

Comments

  • CL2 elastics used between lower 3.6 and 4.6 to 1.3 and 2.3 with button and precision cuts
  • CL2 elastics used only at nights (3/16'' 6,5 oz.)
  • Initial set of aligners were changed at 2 week intervals during distalization
  • Patient cooperation was excellent
  • After invisalign tretament we offered laser gingivectomy to improve the smile but the patient refused the procedure because she was happy with the result.

Retention

  • Maxillary:
  • Mandibular: