{"id":9945,"date":"2025-12-02T14:53:37","date_gmt":"2025-12-02T22:53:37","guid":{"rendered":"https:\/\/sandbox-education.angelaligner.com\/correction-of-a-class-ii-div-1-malocclusion\/"},"modified":"2026-04-23T07:33:18","modified_gmt":"2026-04-23T14:33:18","slug":"correction-of-a-class-ii-div-1-malocclusion","status":"publish","type":"post","link":"https:\/\/www.angelaligner.com\/en-us\/correction-of-a-class-ii-div-1-malocclusion\/","title":{"rendered":"Correction of a class II div 1 malocclusion"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<strong>Treatment Summary<\/strong><\/p>\n<p>This case, led by Dr. Dalia Latkauskiene, presents the treatment of a 25-year-old female patient with a Class II division 1 malocclusion. Using the Angel Aligner PRO system with dual-modality mechanics, the treatment achieved derotation of molars, midline correction, open-bite closure, and Class I settling. In just 12 months and 40 aligners, the approach delivered precise control, enhanced function, and a significantly improved smile.[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1755630390579{padding-top: 10px !important;padding-bottom: 20px !important;background-color: #D8D8D8 !important;}&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3>Patient introduction<\/h3>\n<p><strong>Age:<\/strong> 25 years old<br \/>\n<strong>Gender:<\/strong> Female<br \/>\n<strong>Treatment time:<\/strong> 12 months<br \/>\n<strong>Number of aligners:<\/strong> 40<br \/>\n<strong>Chief complaint:<\/strong> The patient expressed dissatisfaction with the aesthetics of the smile, seeking improvement in alignment and overall appearance. Additionally,the patient reported concerns regarding sensitive teeth, which caused discomfort during daily activities such as eating and drinking. These issues were the primary motivators for pursuing treatment with Angel Aligner.  <\/p>\n<p><strong>Section:<\/strong> Class II division 1 malocclusion<br \/>\n<strong>Product:<\/strong> Pro<br \/>\n<strong>Malocclusion:<\/strong> Class II on both sides due to mesial rotation of 16 26. Light mandibular asymmetry to the right with both midline deviation. Severe attrition of posterior teeth, night bruxism. Open bite tendency.<br \/>\n<strong>Protocoles and features:<\/strong> IPR[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h5 style=\"text-align: center;\">Before &amp; After<\/h5>\n<h5 style=\"text-align: center;\">Class II div 1 malocclusion<\/h5>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;20px&#8221;][vc_column_text css=&#8221;&#8221;]\n\t\t\t\n\t<style type=\"text\/css\">\n\t\t.slider-info-7461.bafg-slider-info .bafg-slider-title {\n\t\t\t\t\t\t\tfont-size:\n\t\t\t\t\t18px\t\t\t\t;\n\t\t\t\n\t\t\t\t\t\t\tcolor:\n\t\t\t\t\t#1e73be\t\t\t\t;\n\t\t\t\n\t\t\t\t\t\t\ttext-align:\n\t\t\t\t\tleft\t\t\t\t;\n\t\t\t\t\t}\n\n\t\t.slider-info-7461.bafg-slider-info .bafg-slider-description {\n\t\t\t\n\t\t\t\n\t\t\t\t\t}\n\t\t\n\t\t\n\t\t.slider-info-7461.bafg-slider-info .bafg_slider_readmore_button {\n\t\t\t\n\t\t\t\t\t\t\tcolor:\n\t\t\t\t\t#1e73be\t\t\t\t;\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\ttext-align: center;\n\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\n\t\t\t\t\t}\n\n\t\t.slider-info-7461.bafg-slider-info .bafg_slider_readmore_button:hover {\n\n\t\t\t\n\t\t\t\n\t\t\t\t\t}\n\t<\/style>\n\t\n\t\t\t<div class=\"bafg-twentytwenty-container slider-7461  \"\n\t\t\t\tbafg-orientation=\"horizontal\" bafg-default-offset=\"0.5\"\n\t\t\t\tbafg-before-label=\"Before\"\n\t\t\t\tbafg-after-label=\"After\" bafg-overlay=\"1\"\n\t\t\t\tbafg-move-slider-on-hover=\"\"\n\t\t\t\tbafg-click-to-move=\"\">\n\n\t\t\t\t\t\t\t\t<img class=\"skip-lazy\" data-skip-lazy\t\t\t\t\tsrc=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/5-min.jpg.webp\" alt=\"class II div 1 malocclusion\">\n\t\t\t\t<img class=\"skip-lazy\" data-skip-lazy\t\t\t\t\tsrc=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/35-min.jpg.webp\" alt=\"derotation of molars, midline correction, open-bite closure, and Class I settling\">\n\n\t\t\t<\/div>\n\n\t\t\t\t<div class=\"bafg-slider-info-wraper\">\n\t\t<div style=\"\" class=\"slider-info-7461 bafg-slider-info\">\n\t\t\t\t\t\t\t<div class=\"bafg-slider-description\">\n\t\t\t\t\tDerotation of molars, midline correction, open-bite closure, and Class I settling\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t<\/div>\n\t\n\t\t\t<style type=\"text\/css\">\n\t\t\t\t\t\t\t\t\t\t\t<\/style>\n\t\t\t[\/vc_column_text][\/vc_column][\/vc_row][vc_row disable_element=&#8221;yes&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Initial Photos and Data<\/h4>\n<p>[\/vc_column_text]<div class=\"gt-image-gallery\"><div class=\"gt-columns gt-column-3 gt-column-space-10\"><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/3-min-768x486.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/3-min-768x486.jpg.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/3-min-768x486.jpg-300x190.webp 300w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"486\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/3-min-768x486.jpg-650x486.webp\" \/><\/div><\/div><\/div><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/2-min-1024x648.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/2-min-1024x648.jpg.webp 1024w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/2-min-1024x648.jpg-300x190.webp 300w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/2-min-1024x648.jpg-768x486.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/2-min-1024x648.jpg-870x550.webp 870w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"648\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/2-min-1024x648.jpg-650x648.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/2-min-1024x648.jpg-650x648.webp 650w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/2-min-1024x648.jpg-150x150.webp 150w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/2-min-1024x648.jpg-350x350.webp 350w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/2-min-1024x648.jpg-85x85.webp 85w\" data-sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/div><\/div><\/div><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/1-min-1024x648.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/1-min-1024x648.jpg.webp 1024w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/1-min-1024x648.jpg-300x190.webp 300w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/1-min-1024x648.jpg-768x486.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/1-min-1024x648.jpg-870x550.webp 870w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"648\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/1-min-1024x648.jpg-650x648.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/1-min-1024x648.jpg-650x648.webp 650w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/1-min-1024x648.jpg-150x150.webp 150w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/1-min-1024x648.jpg-350x350.webp 350w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/1-min-1024x648.jpg-85x85.webp 85w\" data-sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/div><\/div><\/div><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/4-min-768x482.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/4-min-768x482.jpg.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/4-min-768x482.jpg-300x188.webp 300w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"482\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/4-min-768x482.jpg-650x482.webp\" \/><\/div><\/div><\/div><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/5-min-768x486.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/5-min-768x486.jpg.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/5-min-768x486.jpg-300x190.webp 300w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"486\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/5-min-768x486.jpg-650x486.webp\" \/><\/div><\/div><\/div><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/6-min-768x486.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/6-min-768x486.jpg.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/6-min-768x486.jpg-300x190.webp 300w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"486\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/6-min-768x486.jpg-650x486.webp\" \/><\/div><\/div><\/div><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/7-min-768x486.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/7-min-768x486.jpg.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/7-min-768x486.jpg-300x190.webp 300w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"486\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/7-min-768x486.jpg-650x486.webp\" \/><\/div><\/div><\/div><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/8-min-768x486.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/8-min-768x486.jpg.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/8-min-768x486.jpg-300x190.webp 300w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"486\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/8-min-768x486.jpg-650x486.webp\" \/><\/div><\/div><\/div><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/10-min-768x486.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/10-min-768x486.jpg.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/10-min-768x486.jpg-300x190.webp 300w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"486\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/10-min-768x486.jpg-650x486.webp\" \/><\/div><\/div><\/div><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/9-min-768x486.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/9-min-768x486.jpg.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/9-min-768x486.jpg-300x190.webp 300w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"486\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/9-min-768x486.jpg-650x486.webp\" \/><\/div><\/div><\/div><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/11-min-768x486.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/11-min-768x486.jpg.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/11-min-768x486.jpg-300x190.webp 300w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"486\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/11-min-768x486.jpg-650x486.webp\" \/><\/div><\/div><\/div><div class=\"gt-col\"><div class=\"gt-inner\"><div class=\"gt-photo\"><a data-fancybox=\"gallery-4473\" href=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/12-min-768x486.jpg.webp\" data-srcset=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/12-min-768x486.jpg.webp 768w, https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/12-min-768x486.jpg-300x190.webp 300w\" data-caption=\"\"><\/a><img loading=\"lazy\" decoding=\"async\" width=\"650\" height=\"486\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http:\/\/www.w3.org\/2000\/svg%27%20viewBox%3D%270%200%203%202%27%3E%3C\/svg%3E\" class=\"attachment-eventchamp-thumbnail-2 size-eventchamp-thumbnail-2 gt-lazy-load\" alt=\"\" data-src=\"https:\/\/www.angelaligner.com\/wp-content\/uploads\/2025\/12\/12-min-768x486.jpg-650x486.webp\" \/><\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4>Initial Photos and Data<\/h4>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;9910&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;9911&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;9912&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][vc_images_carousel images=&#8221;9916,9917,9918,9919,9920,9921,9922,9923,9924&#8243; img_size=&#8221;full&#8221; slides_per_view=&#8221;3&#8243; autoplay=&#8221;yes&#8221; hide_pagination_control=&#8221;yes&#8221; wrap=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1755633215357{margin-top: 30px !important;padding-top: 20px !important;background-color: #D8D8D8 !important;}&#8221;][vc_column][vc_row_inner gap=&#8221;15&#8243;][vc_column_inner width=&#8221;2\/12&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p style=\"text-align: left;\"><strong>Clinical examination and diagnosis<\/strong><\/p>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;5\/12&#8243;][vc_column_text css=&#8221;&#8221;]Angle Class II 2mm on the right, Angle Class II 2mm on the left, light mandibular asymmetry to the right, lower central line 1mm to the right, upper central line 1,5mm to the left, 1mm overjet and overbite. Sagittal asymmetry of upper dental arch. Light crowding upper and lower frontal segments, severe attrition of posterior teeth, night bruxism.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;5\/12&#8243;][vc_column_text css=&#8221;&#8221;]Normal sagittal position of both jaws, high angle case, steep mandibular ramus,excessive lower facial height, open bite tendency. Function is normal. Patient Motivation good. Soft Tissue Analysis: convex profile, lower third of the face increased, slightly retrusive upper and lower lips, lip strain on closure.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][vc_row_inner gap=&#8221;15&#8243;][vc_column_inner width=&#8221;2\/12&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p style=\"text-align: left;\"><strong>Treatment plan<\/strong><\/p>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;5\/12&#8243;][vc_column_text css=&#8221;&#8221;]Restore severely damaged teeth via composite restorations<br \/>\nAlignment and expansion 2mm per quadrant.<br \/>\nDistalization in segment 1 to Class I and derotation of 16, move upper central line to fit lower central line.<br \/>\nDerotation 26. IZC anchorage.<br \/>\nSettling the bite in Class I.<br \/>\nIPR of the lower anterior segment was performed to address Bolton discrepancy.<br \/>\nThe case initially presented as a moderate Class II on the right and a Class II tendency on the left, with tapered dental arches and an anterior open bite extending to tooth 26 in segment II.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;5\/12&#8243;][vc_column_text css=&#8221;&#8221;]In segment I, the open bite reached up to the first premolar.<br \/>\nA 1.5 mm deviation of the upper dental midline to the patient\u2019s left was noted, along with a slight mandibular midline shift to the right, likely due to asymmetrical mandibular growth observed in the facial structure. Severe mesial rotations of teeth 16 and 26 were evident in the initial records. As derotation of 16, 26, 17, and 27 progressed up to aligner 16, the premolars in segments I and II moved distally, resulting in a bilateral Class I relationship, as intended in the initial treatment plan.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4 style=\"text-align: left;\">Treatment setup<\/h4>\n<p>[\/vc_column_text][vc_images_carousel images=&#8221;9925,9926,9927,9928,9929&#8243; img_size=&#8221;full&#8221; slides_per_view=&#8221;2&#8243; autoplay=&#8221;yes&#8221; hide_pagination_control=&#8221;yes&#8221; wrap=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1755633215357{margin-top: 30px !important;padding-top: 20px !important;background-color: #D8D8D8 !important;}&#8221;][vc_column][vc_row_inner gap=&#8221;15&#8243;][vc_column_inner width=&#8221;2\/12&#8243;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p style=\"text-align: left;\"><strong>Treatment details<\/strong><\/p>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;5\/12&#8243;][vc_column_text css=&#8221;&#8221;]Derotation of 16 26 allowed Class II correction.<br \/>\nVertical vector of elastic traction on buttons and IZC helped with the open bite correction.<br \/>\nNo sequential distalization for Class II tendency correction was performed due to skeletal anchorage. Lingual attachments were used to improve aligner grip and control tooth movement, as small, angulated lower incisors are difficult to move due to limited anatomy.[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;5\/12&#8243;][vc_column_text css=&#8221;&#8221;]An infrazygomatic crest (IZC) screw with force applied between the upper premolars produces a clockwise rotation of the maxillary occlusal plane. This movement aids in closing the anterior open bite and improves upper incisor display. IZC screws with elastics also enable planned intrusion of the upper molars by 1 mm. Because mandibular derotation after upper posterior correction is difficult to predict, anterior distalization and midline correction were performed in the later stages of treatment.[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4 style=\"text-align: left;\">Treatment progress<\/h4>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;9913&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;9914&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;9915&#8243; img_size=&#8221;medium&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][vc_images_carousel images=&#8221;9930,9931,9932,9933,9934,9935,9936,9937,9938,9939&#8243; img_size=&#8221;full&#8221; slides_per_view=&#8221;3&#8243; autoplay=&#8221;yes&#8221; hide_pagination_control=&#8221;yes&#8221; wrap=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][vc_column_text css=&#8221;&#8221;]<\/p>\n<h5 style=\"text-align: center;\">Download the full case to see the treatment results, the conclusion and get more details on the solution<\/h5>\n<p>[\/vc_column_text][vc_empty_space][vc_row_inner css=&#8221;.vc_custom_1755667099092{padding: 20px !important;border: 1px solid #1E73BE !important;}&#8221;][vc_column_inner][vc_raw_js]JTNDc2NyaXB0JTIwc3JjJTNEJTIyaHR0cHMlM0ElMkYlMkZqcy5oc2Zvcm1zLm5ldCUyRmZvcm1zJTJGZW1iZWQlMkY0NDI2NTQ2Mi5qcyUyMiUyMGRlZmVyJTNFJTNDJTJGc2NyaXB0JTNFJTBBJTNDZGl2JTIwY2xhc3MlM0QlMjJocy1mb3JtLWZyYW1lJTIyJTIwZGF0YS1yZWdpb24lM0QlMjJuYTElMjIlMjBkYXRhLWZvcm0taWQlM0QlMjI4NGI0ZDVjNy03ZTU0LTRkOWQtOTdkYi04YWNlNWQyM2NlOWIlMjIlMjBkYXRhLXBvcnRhbC1pZCUzRCUyMjQ0MjY1NDYyJTIyJTNFJTNDJTJGZGl2JTNF[\/vc_raw_js][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][vc_single_image image=&#8221;9787&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221; css=&#8221;&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<h4 style=\"text-align: center;\">Dr. Dalia Latkauskiene<\/h4>\n<p>[\/vc_column_text][vc_column_text css=&#8221;&#8221;]Dr Dalia Latkauskien\u0117 received her dental degree in from Kaunas University of Medicine. Since 2002 she has been in full-time private practice. She defended her Phd thesis \u201eHerbst- effects on jaws and dental arches in growing Class II patients\u201c in 2013.  <\/p>\n<p>Dalia Latkauskien\u0117 has presented lectures, seminars and continuing education courses on crowned Herbst appliance, mixed dentition treatment, aligner treatment, adult orthodontics, multidisciplinary treatment and combined orhodontic-orthognatic treatment (together with maxillo facial surgon S. Grybauskas DDS, MD, Phd) to dental and orthodontic organizations as well as conferences worldwide.<\/p>\n<p>Current interests focus on orthodontic-orthognatic, non-compliant orthodontic treatment, temporary anchorage devices, adult orthodontics and aligner treatment.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>This case, led by Dr. Romina Vignolo Lobato, showcases the treatment of a 12-year-old female patient with a Class II malocclusion. Using the Angel Aligner Pro system with the A8 protocol and an asymmetric virtual jump, the treatment achieved crowding resolution, bite correction, and improved facial profile in just 11 months with 30 aligners. The minimally invasive approach combined efficiency with precise control, delivering both functional and aesthetic results.  <\/p>\n","protected":false},"author":2,"featured_media":9940,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[317],"tags":[355,352,350,351,356],"class_list":["post-9945","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-cases","tag-a8-molar-distalization","tag-class-ii","tag-kid","tag-malocclusion","tag-pro"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Correction of a class II div 1 malocclusion - angelaligner.com<\/title>\n<meta name=\"description\" content=\"This case, led by Dr. Romina Vignolo Lobato, showcases the treatment of a 12-year-old female patient with a Class II malocclusion.\" \/>\n<meta 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