Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Phase II treatment
,
Elastics: Class II
,
Leveling curve of Spee
,
Elastics: vertical
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Space Closure

Treatment information

  • Age: 15
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class II div 1
  • Increased overjet
  • Mandibular retrognathia
  • Deepbite
  • Narrow arches
  • Maxillary midline deviation
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations
  • Spacing
  • Diastema

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Retraction
  • IPR
  • Space Closure
  • Elastics: Vertical
  • Elastics: Class II
  • Class II Elastics in Additional Aligners
  • Phase II treatment
  • Optimized rotation attachment (G3) on Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 4.4 (LR4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.5 (LR5)
  • Pressure areas (G5) on Lingual 1.1 (UR1), Lingual 2.1 (UL1), Lingual 2.2 (UL2), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
Courtesy of Dr S. Palma Moya 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
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 26 months

Number of aligners

  • Maxillary: 34 + 16 = 50
  • Mandibular: 34 + 16 = 50

Aligner wear time

  • 14 days

Comments

  • The patient has been treated with the Invisalign teen  with the use of Elastics class II
  • This was the perfect combination to receive this treatment result
  • We finalized this treatment with retainers to keep the result