Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Crowding

Elastics: Class II
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Retraction

Treatment information

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

Diagnostic Summary

  • Class II div 1
  • Increased overjet
  • Mandibular retrognathia
  • Deepbite
  • Narrow arches
  • Crowding

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Retraction
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.4 (UL4)
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5)
Courtesy of Dr. F. Zheng 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

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Total treatment Time

  • 15 months

Number of aligners

  • Maxillary: 25
  • Mandibular: 25

Aligner wear time

  • 2-weeks

Comments

  • We chose single-phase orthodontic treatment for this patient that was timesaving and highly efficient
  • The treatment plan was to Align the teeth and simultaneously use of class II elastics to improve the anterior/posterior relationship and turn Class II canine and molar into a full Cass I relationship
  • Mandibular growth modification and bite jump achieved

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear