Class II div 1
,
Openbite
,
Maxillary midline deviation
,
Midline shift
,
Crowding

Distalization
,
Leveling curve of Spee
,
Extrusion
,
Expansion
,
IPR

Treatment information

  • Age:18
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Diagnostic Summary

  • Class II div 1
  • Openbite
  • Maxillary midline deviation
  • Midline shift
  • Crowding

Use of:

  • Distalization
  • Expansion
  • Extrusion
  • Leveling Curve of Spee
  • IPR
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Optimized extrusion attachment (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 2.3 (UL3), Buccal 3.5 (LL5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.4 (LR4)
Courtesy of Dr. M. A. De Nicolas 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
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 17 months

Number of aligners

  • Maxillary: 48 + 13 = 61
  • Mandibular: 48 + 13 = 61

Aligner wear time

  • 1-week

Comments

  • Distalization to correct Class II
  • To create a correct overbite we extruded upper and lower anterior teeth
  • We achieved Class I Molar and Canine with the use of distalization of the upper arch
  • We corrected Bolton discrepancy and increased the overjet with the help of IPR
  • Upper midline correction of 2 mm to the patient´s left, both midlines coincide
  • Class II with open bite was treated successfully with Invisalign we find that this is the best orthodontic system for vertical control

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear