Class II div 1
,
Edge to edge bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Expansion
,
Proclination
,
Elastics: Class II in Additional Aligners
Courtesy of Dr. F. Baboni, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 11 months

Number of aligners

  • Maxillary: 28 + 16 = 44
  • Mandibulary: 28 + 16 = 44

Aligner Wear time

  • 1 week

Retention

  • Maxillary: Hawley
  • Mandibular: Fixed/Bonded

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
  • Harmonic arches were achieved

Comments

  • Expansion of arches
  • Elastic Class II on additional aligners
  • Extrusion of 3.3, 4.3, 3.5, 4.5
  • Rotation of 1.3, 2.1, 2.4, 3.5, 4.5, 4.1, 4.2, 3,2
  • Distalization of the left side to achieve Class I and to correct maxillary midline deviation
  • No space to correct position of lower incisors
  • No functional canine guidance on both sides

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck treatment plan

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Smartforce features

  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.3 (LR3)
  • Optimized extrusion attachment (G3) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Power ridge feature (G3) on Buccal 1.1 (UR1)
  • Optimized Multi-plane (G4) on Buccal 1.2 (UR2)
  • Optimized root control attachments (G4) on Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized multi-plane attachments for molars (G7+) on Buccal 1.6 (UR6), Buccal 2.7 (UL7), Buccal 4.6 (LR6), Buccal 3.6 (LL6)
Download ADF files:
Initial
Additional Aligners