Class II div 1
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

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

Treatment information

  • Age: 35
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 1
  • Mandibular retrognathia
  • Deepbite
  • Narrow arches
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Optimized rotation attachment (G3) on Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Power ridge feature (G3) on Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3)
  • Pressure areas (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 4.4 (LR4), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
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 II relationship maintained
  • Deepbite improved
  • Overjet improved
  • Curve of Spee leveled
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 10 months

Number of aligners

  • Maxillary: 42
  • Mandibular: 42

Aligner wear time

  • 1-week

Comments

  • The patient did not want to do dental extractions or orthognathic surgery.
  • We chose to make the reduction of the overjet through posterior expansion and posterior IPR
  • Little IPR was performed for anterior retraction due to the patient's straight facial profile
  • Molars were not moved for better treatment stability and anchorage control
  • Note that the A-P correction was not the focus of this treatment

Retention

  • Maxillary:
  • Mandibular: