Class II div 2
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Maxillary midline deviation
,
Crowding

Mandibular advancement
,
Leveling curve of Spee
,
Elastics: vertical
,
Intrusion
,
Expansion

Treatment information

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

Diagnostic Summary

  • Class II div 2
  • Mandibular retrognathia
  • Deepbite
  • Narrow arches
  • Maxillary midline deviation
  • Crowding

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Elastics: Vertical
  • Mandibular advancement
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 3.4 (LL4)
  • Power ridge feature (G3) on Buccal 3.1 (LL1)
  • Optimized root control attachments (G4) on Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Precision wings (MA) on Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 2.5 (UL5), Buccal 2.6 (UL6), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Buccal 3.5 (LL5), Buccal 3.6 (LL6)
Courtesy of Dr D. Yilei 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
  • Deepbite improved
  • Significant improvement of¬†overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 18 months

Number of aligners

  • Maxillary: 40 + 13 = 53
  • Mandibular: 40 + 13 = 53

Aligner wear time

  • 1-week

Comments

  • maxillary incisor proclination
  • Transverse expansion upper arch
  • Intrusion anterior teeth
  • extrusion posterior teeth with the use of vertical elastics
  • Mandibular advancement and Class I relationship achieved with the use of the Precision wing feature