Class II div 2
,
Deepbite
,
Maxillary midline deviation
,
Midline shift
,
Crowding
,
Impacted canines

Leveling curve of Spee
,
Intrusion
,
Expansion

Treatment information

  • Age: 19
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class II div 2
  • Deepbite
  • Maxillary midline deviation
  • Midline shift
  • Crowding
  • Impacted canines

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Optimized rotation attachment (G3) on Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.2 (UL2), Buccal 2.3 (UL3), Buccal 4.4 (LR4), Buccal 4.5 (LR5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.5 (UL5), Buccal 3.5 (LL5)
  • Precision bite ramp (G5) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
Courtesy of Dr. C. Shu 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
  • Significant improvement of overbite
  • Midlines coincident
  • 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

  • 33 months

Number of aligners

  • Maxillary: 54 + 34 + 25 = 113
  • Mandibular: 54 + 7 + 8 = 69

Aligner wear time

  • 1-week

Comments

  • Determine diagnosis
  • Close attention when correction is needed
  • Active cooperation of patients
  • Wearing retainers after treatment
  • All contribute to a successful treatment

Retention

  • Maxillary: Vivera
  • Mandibular: Vivera