Class II div 1
,
Deepbite
,
Narrow arches
,
Posterior crossbite
,
Crowding
,
Rotations
,
Pre-restorative

Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR

Treatment information

  • Age: 32
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 1
  • Deepbite
  • Narrow arches
  • Posterior crossbite
  • Crowding
  • Rotations
  • Pre-restorative

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Optimized rotation attachment (G3) on Buccal 3.3 (LL3)
  • Optimized extrusion attachment (G3) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 2.3 (UL3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.4 (UR4)
  • Pressure areas (G5) on Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 4.4 (LR4), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
Courtesy of Dr E. Rothier 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • NormalĀ  overjet and overbite achieved
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 15 months

Number of aligners

  • Maxillary: 68
  • Mandibular: 68

Aligner wear time

  • 1-week

Comments

  • We planned to not move the second and third molars in the upper and lower arch to have better posterior stability and predictability of the expansion
  • The anterior crowding was solved with IPR and intrusion
  • The projection of the canines inferiors helped in the correction of the relation of canine class II