Class II div 2
,
Deepbite
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR

Treatment information

  • Age: 19
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 2
  • Deepbite
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.5 (UL5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 3.4 (LL4)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
Courtesy of Dr M. Aiemkrasin 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • NormalĀ  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Harmonic arches were achieved

Total treatment Time

  • 24 months

Number of aligners

  • Maxillary: 49 + 21 + 11 = 81
  • Mandibular: 49 + 21 + 11 = 81

Aligner wear time

  • 1-week

Comments

  • Use of Class II inter maxillary elastics to help control anchorage
  • Proclination of the upper incisors
  • Use space gained from expansion, proclination and IPR to correct lower crowding

Retention

  • Maxillary:
  • Mandibular: