Class II div 1
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Midline shift
,
Crowding
,
Rotations
,
Spacing

Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Distalization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Proclination
,
Space Closure

Treatment information

  • Age: 11
  • Gender: male
  • Invisalign Treatment Option: Invisalign Comprehensive

Diagnostic Summary

  • Class II div 1
  • Mandibular retrognathia
  • Deepbite
  • Narrow arches
  • Asymmetric arches
  • Midline shift
  • Crowding
  • Rotations
  • Spacing

Use of:

  • Distalization
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Space Closure
  • Elastics: Class II
  • Class II Elastics in Additional Aligners
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 4.4 (LR4), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 2.5 (UL5)
  • Optimized extrusion attachments for molars (G7+) on Buccal 4.5 (LR5), Buccal 3.4 (LL4)
Courtesy of Dr. T. Thanvarachorn 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
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deep bite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • 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
  • Harmonic arches were achieved

Total treatment Time

  • 34 months

Number of aligners

  • Maxillary: 96 + 21 = 117
  • Mandibular: 96 + 21 = 117

Aligner wear time

  • 1-week

Comments

  • Patient with 100% compliance
  • Class II elastics were worn at stage 50
  • There was a bit of traumatic occlusion during the jump of 2.2 labially but the patient was okay and kept being highly motivated

Retention

  • Maxillary:
  • Mandibular: