Class II div 1
,
Increased overjet
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Distalization
,
Leveling curve of Spee
,
Elastics: vertical
,
Intrusion
,
Expansion
,
IPR
,
Implants
,
Overtreatment

Treatment information

  • Age: 24
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 1
  • Increased overjet
  • Deepbite
  • Narrow arches
  • Asymmetric arches
  • Mandibular midline deviation
  • Crowding
  • Rotations

Use of:

  • Distalization
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • IPR
  • Elastics: Vertical
  • Implants
  • Overtreatment
  • Optimized rotation attachment (G3) on Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.3 (LR3)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 1.5 (UR5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5), Buccal 3.4 (LL4)
  • Pressure areas (G5) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 2.3 (UL3)
Courtesy of Dr S. Zhou 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 16 months

Number of aligners

  • Maxillary: 42 + 12 + 13 = 67
  • Mandibular: 42 + 12 + 13 = 67

Aligner wear time

  • 1-week

Comments

  • First, we distalized 4.8 to create more space and then aligned the 4.7
  • We performed 0.3mm IPR on 1.1,2.1,3.1,3.2,41,4.2
  • Vertical elastics were used to help to correct the scissors bite