Class II div 2
,
Openbite
,
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

  • Phase I treatment / Interceptive
  • Class II div 2
  • Openbite
  • Deepbite
  • Narrow arches
  • Midline shift
  • Crowding

Use of:

  • Distalization
  • Expansion
  • Intrusion
  • Proclination
  • Optimized retention attachment (Phase 1) on Buccal 1.6 (UR6), Buccal 2.6 (UL6)
  • Optimized expansion support attachment (Phase 1) on Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Buccal 3.5 (LL5), Buccal 3.6 (LL6)
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
  • Arches aligned and coordinated

Total treatment Time

  • 10 months

Number of aligners

  • Maxillary: 30 + 23 = 53
  • Mandibular: 30 + 23 = 53

Aligner wear time

  • 5 days

Comments

  • Invisalign First
  • Expanding molars first then C's, D's and E's
  • The incisors were aligned after expansion of the posterior segments
  • Extra space was created to allow for the eruption of the larger cuspids
  • We will improve occlusal in Phase II