Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding

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

Treatment information

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

Diagnostic Summary

  • Class II div 1
  • Increased overjet
  • Mandibular retrognathia
  • Deepbite
  • Narrow arches
  • Asymmetric arches
  • Maxillary midline deviation
  • Mandibular midline deviation
  • Crowding

Use of:

  • Mesialization
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Extraction
  • Retraction
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 2.5 (UL5)
  • Power ridge feature (G3) on Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
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
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
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Midlines coincident
  • 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

Total treatment Time

  • 26 months

Number of aligners

  • Maxillary: 45 + 18 = 63
  • Mandibular: 45 + 18 = 63

Aligner wear time

  • 7 days -10 days

Comments

  • Extraction of 1.4, 2.2, 3.5 and 4.5
  • Mesialization of Mandibular molars to achieve class I molar relationship
  • We leveled the curve of Spee and intruded the incisors to improve the deep overbite

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear