Class II div 1
,
Increased overjet
,
Narrow arches
,
Crowding
,
Rotations
,
Diastema

Mandibular advancement
,
Leveling curve of Spee
,
Expansion
,
Phase I treatment / Interceptive

Treatment information

  • Age: 9
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen with MA

Diagnostic Summary

  • Class II div 1
  • Increased overjet
  • Narrow arches
  • Crowding
  • Rotations
  • Diastema

Use of:

  • Mandibular advancement
  • Expansion
  • Leveling Curve of Spee
  • Phase I treatment / Interceptive
  • Optimized multiplane (G4) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Precision wings (MA)
Courtesy of Dr F. Garino 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final of MA Phase
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
  • NormalĀ  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case

Total treatment Time

  • 17 months

Number of aligners

  • Maxillary: 42 + 36 = 78
  • Mandibular: 42 + 36 = 78

Aligner wear time

  • 1-week

Comments

  • During the first series of aligners the excessive overjet was corrected with the use of the Precision wing feature in combination with upper expansion, thus having both a dental effect and a functional effect
  • With the second series of aligners we controlled the rotations of lower permanent canines and added one step of mandibular advancement

Retention

  • Maxillary:
  • Mandibular: