Class II div 1
,
Increased overjet
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Other extraction
,
Lower incisor extraction
,
IPR
,
Space Closure

Treatment information

  • Age: 46
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 1
  • Increased overjet
  • Deepbite
  • Narrow arches
  • Asymmetric arches
  • Maxillary midline deviation
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Extraction
  • Retraction
  • Other extraction
  • Lower incisor extraction
  • IPR
  • Space Closure
  • Elastics: Class II
  • Class II Elastics in Additional Aligners
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2)
  • Optimized root control attachments (G4) on Buccal 4.5 (LR5)
  • Optimized deepbite attachments activated for premolar extrusion (G5) on Buccal 2.4 (UL4)
  • Pressure areas (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
Courtesy of Dr S. Chieh Lin 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 16 months

Number of aligners

  • Maxillary: 20 + 23 + 17 = 60
  • Mandibular: 24 + 19 + 13 = 56

Aligner wear time

  • 1-week

Comments

  • Class II div I malocclusion with crowding case
  • Patients chief complaint was her protrusive profile with flared out incisors
  • The Treatment plan was to extract periodontal compromise on 4.1 to resolve lower crowding and do upper IPR for Bolton's discrepancy and retract U2-2 for profile improvement
  • Jump at the end in ClinCheck design for Class II correction.
  • Class II elastics were used for the jump
  • Vivera retainer