Class II div 1
,
Deepbite
,
Midline shift
,
Crowding

Phase I treatment / Interceptive
,
Distalization
,
Intrusion
,
Expansion
,
Proclination

Treatment information

  • Age: 9
  • Gender: female
  • Invisalign Treatment Option: Invisalign First

Diagnostic Summary

  • Class II div 1
  • Phase I treatment / Interceptive
  • Deepbite
  • Midline shift
  • Crowding

Use of:

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

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
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved

Total treatment Time

  • 11 months

Number of aligners

  • Maxillary: 32 + 20 = 52
  • Mandibular: 32 + 20 = 52

Aligner wear time

  • 5 days

Comments

  • Invisalign First by expansion of molars first then C's, D's and E's
  • We plan to improve occlusion in Phase II