Class II div 2
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Crowding

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

Treatment information

  • Age: 16
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class II div 2
  • Mandibular retrognathia
  • Deepbite
  • Narrow arches
  • Crowding

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Elastics: Class II
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 2.4 (UL4), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.4 (UR4), Buccal 2.5 (UL5), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Pressure areas (G5) on Lingual 1.1 (UR1), Lingual 4.1 (LR1), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
Courtesy of Dr. G. Dal Porto 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
  • Normal  overjet and overbite achieved
  • Deepbite 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
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 28 months

Number of aligners

  • Maxillary: 40 + 18 = 58
  • Mandibular: 40 + 18 = 58

Aligner wear time

  • 2-weeks

Comments

  • A good collaboration of the patient
  • The hygiene was perfect and also the wearing time of the aligners (22h/day)
  • The first phase as a class II, 2° division was the proclination of the upper incisors to get the space for the advancement of the mandibular

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera