Class II div 1
,
Deepbite
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Rotations
,
Diastema

Mandibular advancement
,
Elastics: Class II
,
Pre Mandibular Advancement Phase
,
Distalization
,
Intrusion
,
Expansion
,
IPR

Treatment information

  • Age: 12
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen with MA

Diagnostic Summary

  • Class II div 1
  • Deepbite
  • Asymmetric arches
  • Maxillary midline deviation
  • Midline shift
  • Rotations
  • Diastema

Use of:

  • Distalization
  • Expansion
  • Intrusion
  • IPR
  • Elastics: Class II
  • Pre Mandibular Advancement Phase
  • Mandibular advancement
  • Optimized rotation attachment (G3)
  • Power ridge feature (G3)
  • Optimized root control attachments (G4)
  • Precision wings brackets (MA)
Courtesy of Dr M. Abdala 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
  • Deepbite improved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 11 months

Number of aligners

  • Maxillary: 43 + 13 = 56
  • Mandibular: 43 + 10 = 53

Aligner wear time

  • 1-week

Comments

  • Treatment with Precision Wings for mandibular advancement, patient was very cooperative. The additional aligners were designed to improve the midline and close residual spaces.