Class II div 2

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

Treatment information

  • Age: 29
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class II div 2

Use of:

  • Distalization
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Elastics: Class II
  • TADs
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 3.4 (LL4)
  • Optimized root control attachments (G4) on Buccal 2.2 (UL2), Buccal 2.5 (UL5)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
Courtesy of Dr. S. Zou 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
  • Significant improvement of overbite
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case

Total treatment Time

  • 18 months

Number of aligners

  • Maxillary: 56 + 13 = 69
  • Mandibular: 56 + 13 = 69

Aligner wear time

  • 1-week

Comments

  • We distalized the upper and lower molars on both sides
  • Elastic from Tads to ensure anchorage for distalization
  • We expanded both arches

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley