Class II div 2
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Distalization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR

Treatment information

  • Age: 17
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

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

Use of:

  • Distalization
  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Retraction
  • IPR
  • Elastics: Class II
  • Class II Elastics in Additional Aligners
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.3 (LL3)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Lingual 1.1 (UR1), Lingual 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Lingual 2.1 (UL1), Lingual 2.2 (UL2), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 2.3 (UL3)
  • Pressure areas (G5) on Lingual 1.1 (UR1), Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
Courtesy of Dr. S. Palma Moya 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • 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

  • 26 months

Number of aligners

  • Maxillary: 38 + 37 + 14 = 89
  • Mandibular: 41 + 37 + 14 = 92

Aligner wear time

  • 1-week

Comments

  • We treated this patient successfully with the Invisalign Teen treatment option
  • We used elastics to achieve these results

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded