Class II div 2
,
Anterior crossbite
,
Maxillary midline deviation
,
Crowding

Elastics: Class II
,
Distalization
,
Expansion
,
IPR

Treatment information

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

Diagnostic Summary

  • Class II div 2
  • Anterior crossbite
  • Maxillary midline deviation
  • Crowding

Use of:

  • Distalization
  • Expansion
  • IPR
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Optimized extrusion attachment (G3) on Buccal 1.1 (UR1)
  • Power ridge feature (G3) on Buccal 1.2 (UR2), Buccal 2.1 (UL1)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 2.3 (UL3), Buccal 2.5 (UL5), Lingual 4.5 (LR5), Lingual 3.3 (LL3)
  • Pressure areas (G5) on Buccal 2.2 (UL2), Lingual 2.2 (UL2)
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

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior 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

  • 15 months

Number of aligners

  • Maxillary: 44
  • Mandibular: 44

Aligner wear time

  • 8~10 days

Comments

  • We used Class II elastics to distalize upper posteriors and achieve Class I molar and canine relationship
  • Upper and lower arch expansion, and IPR were used to align the teeth and shift the upper midline to the left side

Retention

  • Maxillary:
  • Mandibular: