Class II div 1
,
Deepbite
,
Narrow arches
,
Crowding
,
Rotations

Elastics: Class II
,
Leveling curve of Spee
,
Intrusion
,
Expansion

Treatment information

  • Age: 15
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class II div 1
  • Deepbite
  • Narrow arches
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.3 (LR3)
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 2.2 (UL2), Buccal 2.3 (UL3)
  • Optimized root control attachments (G4) on Buccal 1.5 (UR5), Buccal 3.3 (LL3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5), Buccal 3.5 (LL5)
Courtesy of Dr S. Holliday 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
Download ADF files
Initial
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Overjet improved
  • Significant improvement of¬†overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 24 months

Number of aligners

  • Maxillary: 0 + 31 + 12 = 43
  • Mandibular: 0 + 31 + 12 = 43

Aligner wear time

  • 2-weeks

Comments

  • Invisalign teen was utilized and planned with the use of Class II elastics, leveling of the curve of Spee setup and arch form development to expand and allow for retraction of U1's to reduce overjet and protrusion
  • We finished this case with Vivera

Retention

  • Maxillary:
  • Mandibular: