Class I
,
Class II div 2
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Midline shift
,
Crowding

Elastics: Class II
,
Distalization
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR

Treatment information

  • Age: 40
  • Gender: female
  • Invisalign Treatment Option: Invisalign Comprehensive

Diagnostic Summary

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

Use of:

  • Distalization
  • Expansion
  • Extrusion
  • Intrusion
  • Retraction
  • IPR
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 1.3 (UR3), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.3 (LR3)
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
  • 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 + 18 = 66
  • Mandibular: 48 + 18 = 66

Aligner wear time

  • 1-week

Comments

  • The patient has a class II relationship which we maintained
  • We improved the canine relationship with the help of IPR on the posterior upper right
  • We planned IPR on the posterior lower left to correct the dental midline shift
  • Intermaxillary elastics were planned but it was not necessary in this case
  • The molars were not moved for better treatment stability and anchorage control
  • Using Invisalign allows the doctor to move only the teeth that need to be moved, this provides a much faster and predictable treatment

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer