Deepbite
,
Class II div 1
,
Narrow arches
,
Posterior crossbite
,
Crowding

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

Treatment information

  • Age: 35
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 1
  • Deepbite
  • Narrow arches
  • Posterior crossbite
  • Crowding

Use of:

  • Distalization
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • IPR
  • Elastics: Class II
  • TADs
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.4 (UL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.4 (LR4)
  • Pressure areas (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2), 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. D. She 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
  • Functional canine guidance on both sides
  • Posterior crossbite corrected
  • Normal¬† overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 27 months

Number of aligners

  • Maxillary: 57 + 13 = 70
  • Mandibular: 57 + 13 = 70

Aligner wear time

  • 10 days

Comments

  • We used Class II elastics to achieve Class I molar and canine relationship
  • TADs were used to support upper molars
  • Lower anterior was intruded with the use of the frog pattern
  • Refinement was used to correct anterior deep bite and posterior open bite