Class II div 2
,
Deepbite
,
Narrow arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Elastics: Class II
,
Distalization
,
Leveling curve of Spee
,
Elastics: vertical
,
Intrusion
,
Expansion
,
Proclination

Treatment information

  • Age: 33
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 2
  • Deepbite
  • Narrow arches
  • Mandibular midline deviation
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Elastics: Vertical
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.5 (UL5), Buccal 4.4 (LR4)
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
Download ADF files
Initial
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Aesthetic smile line¬†was achieved
  • Harmonic arches were achieved

Total treatment Time

  • 17 months

Number of aligners

  • Maxillary: 29 + 19 = 48
  • Mandibular: 29 + 19 = 48

Aligner wear time

  • The time varied

Comments

  • This is a Class I case with the use of vertical elastics and sequenced distalization
  • The deep bite correction has been achieved with torque and intrusion in the maxillary incisors, correcting the curve of Spee and proclination of the lower incisors
  • The patient was very collaborative which helped with a successful treatment outcome

Retention

  • Maxillary:
  • Mandibular: