Class II div 1
,
Openbite
,
Mandibular midline deviation
,
Spacing
,
Diastema

Elastics: Class II
,
Distalization
,
Extrusion

Treatment information

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

Diagnostic Summary

  • Class II div 1
  • Openbite
  • Mandibular midline deviation
  • Spacing
  • Diastema

Use of:

  • Distalization
  • Extrusion
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.5 (LL5)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2), Buccal 4.6 (LR6), Buccal 3.6 (LL6)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.5 (UR5), Buccal 3.4 (LL4)
Courtesy of Dr. H. Sik Park 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
Download ADF files
Initial

Treatment summary

Results Achieved

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

  • 9 months

Number of aligners

  • Maxillary: 32
  • Mandibular: 32

Aligner wear time

  • 1-week

Comments

  • Extraction of 1.8, 2.8, 3.8, 4.8, and supernumerary teeth
  • We removed the restoration on the mesial surfaces of 1.1 and 2.1
  • Sequential distalization on upper right side
  • We extruded upper and lower incisors

Retention

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