Class II div 2
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Midline shift
,
Crowding
,
Rotations

Leveling curve of Spee
,
Intrusion
,
Expansion
,
IPR

Treatment information

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

Diagnostic Summary

  • Class II div 2
  • Deepbite
  • Narrow arches
  • Asymmetric arches
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 4.2 (LR2)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 2.1 (UL1), Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5)
Courtesy of Dr. E. Rothier 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 II relationship maintained
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee leveled
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 12 months

Number of aligners

  • Maxillary: 25 + 15 = 40
  • Mandibular: 25 + 15 = 40

Aligner wear time

  • 1-week

Comments

  • We solved the patient's dental crowding with posterior expansion
  • Dental midline deviation was corrected using asymmetric IPR only on the left side of the mandible
  • Despite the Class I molar relationship, the canine position was Class II even with this type of occlusion, we obtained an efficient anterior guide and canine guide for the patient
  • The patient was very happy with the esthetic and functional results achieved at the end of the treatment

Retention

  • Maxillary: Vivera
  • Mandibular: Fixed/Bonded