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

Mandibular advancement
,
Pre Mandibular Advancement Phase
,
Expansion
,
Proclination
,
IPR

Treatment information

  • Age: 17
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen with MA

Diagnostic Summary

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

Use of:

  • Expansion
  • Proclination
  • IPR
  • Class II Elastics in Additional Aligners
  • Pre Mandibular Advancement Phase
  • Mandibular advancement
  • Optimized rotation attachment (G3) on Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 2.2 (UL2)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.4 (LR4)
  • Precision wings (MA)
Courtesy of Dr M. Garcia Escribano Perez 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Deepbite improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • Harmonic arches were achieved

Total treatment Time

  • 22 months

Number of aligners

  • Maxillary: 40 + 18 + 24 = 82
  • Mandibular: 40 + 18 + 24 = 82

Aligner wear time

  • 1-week

Comments

  • The first phase was completed using the Invisalign with Mandibular Advancement feature
  • Two additional aligner orderes were utilized to close down the posterior open bite, virtual jump with elastics and to coordinate arches
  • A request for alignment, arch coordination and intercuspation of occlusion was made to the technician to seek final result.