Class II div 1
,
Increased overjet
,
Maxillary midline deviation
,
Crowding

Expansion
,
Elastics: Class II
,
Leveling curve of Spee

Teen case of the month

Dr. C. Shu
Dr. C. Shu

Doctor quote:" The teenage years are the perfect time for Invisalign treatment. I was very happy to see that this patient's new smile improved her confidence and gave her a more positive outlook on life."

Treatment information

  • Age: 12
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Class II div 1
  • Increased overjet
  • Maxillary midline deviation
  • Crowding

Use of:

  • Expansion
  • Leveling Curve of Spee
  • Elastics: Class II
  • Optimized extrusion attachment (G3) on Buccal 2.2 (UL2)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2)
  • Optimized root control attachments (G4) on Buccal 2.4 (UL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.4 (UR4), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
Courtesy of Dr. C. Shu 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
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • 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

  • 11 months

Number of aligners

  • Maxillary: 26 + 9 = 35
  • Mandibular: 26 + 9 = 35

Aligner wear time

  • 1-week

Comments

  • The following factors were needed to complete and maintain the correction:
  • Correct diagnosis
  • Good treatment plan
  • Good cooperation from the patient
  • Monitoring in treatment
  • Retainer use

Retention

  • Maxillary: Other
  • Mandibular: Other