Class II div 2
,
Mandibular retrognathia
,
Deepbite
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Pre-restorative

Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR

Treatment information

  • Age: 40
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 2
  • Mandibular retrognathia
  • Deepbite
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations
  • Pre-restorative

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Optimized rotation attachment (G3) on Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Optimized extrusion attachment (G3) on Buccal 1.3 (UR3)
  • 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 2.3 (UL3), Buccal 3.3 (LL3)
  • 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)
  • Conventional bite ramp on Lingual 1.3 (UR3), Lingual 2.3 (UL3)
Courtesy of Dr E. Herrero Vicent 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
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • 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

  • 10 months

Number of aligners

  • Maxillary: 25 + 14 = 39
  • Mandibular: 23 + 14 = 37

Aligner wear time

  • 1-week

Comments

  • Light expansion of both arches
  • Proclination of upper incisors and control lingual root torque during retraction
  • IPR and proclination of lower incisors
  • Relative intrusion of anterior lower teeth to level the curve of Spee
  • Extrusion of posterior lower premolars

Retention

  • Maxillary:
  • Mandibular: