Class II div 2
,
Openbite
,
Narrow arches
,
Crowding
,
Rotations

Elastics: Class II
,
Distalization
,
Elastics: vertical
,
Extrusion
,
Expansion
,
Retraction
,
IPR

Treatment information

  • Age: 44
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 2
  • Openbite
  • Narrow arches
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Expansion
  • Extrusion
  • Retraction
  • IPR
  • Elastics: Vertical
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 3.4 (LL4)
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 4.1 (LR1)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Lingual 1.1 (UR1)
  • Optimized root control attachments (G4) on Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.4 (UR4), Buccal 2.5 (UL5)
Courtesy of Dr S. Alonso del Hoyo Cabetas 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
  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Overjet improved
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • Harmonic arches were achieved

Total treatment Time

  • 27 months

Number of aligners

  • Maxillary: 20 + 31 + 20 = 71
  • Mandibular: 20 + 31 = 51

Aligner wear time

  • Time varied

Comments

  • Expansion in the upper and lower arch to correct the edge to edge bite
  • In the final phase we did not move the lower arch due to its tendency to recessions