Class II div 2
,
Increased overjet
,
Deepbite
,
Narrow arches
,
Posterior crossbite
,
Asymmetric arches
,
Crowding
,
Rotations

Elastics: Class II
,
Distalization
,
Intrusion
,
Expansion
,
IPR

Treatment information

  • Age: 29
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 2
  • Increased overjet
  • Deepbite
  • Narrow arches
  • Posterior crossbite
  • Asymmetric arches
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Expansion
  • Intrusion
  • IPR
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.4 (UR4), Buccal 2.2 (UL2)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 2.5 (UL5)
  • Pressure areas (G5) on Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
Courtesy of Dr J. Godenèche 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

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
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 18 months

Number of aligners

  • Maxillary: 51 + 16 + 14 = 81
  • Mandibular: 51 + 16 + 14 = 81

Aligner wear time

  • 7 and 4 days

Comments

  • We first focussed on the alignment
  • Then we corrected the Class II  by distalization with the help of G4 attachments and class II elastic
  • G5 attachments were used for deepbite correction
  • Treatment goals are successfully achieved