Clase II, div. 1
,
Mordida cruzada posterior
,
Resalte aumentado
,
Open bite
,
Arcadas estrechas
,
Desvio da linha média maxilar
,
Desviación de la línea media
,
Apiñamiento
,
Rotaciones

Avance mandibular
,
Expansión
,
Proclinación
,
Tratamiento de fase I/interceptivo
Courtesy of Dr F. Garino, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen with MA

Total Treatment Time

  • 17 meses

Cantidad de alineadores

  • Maxillary: 40 + 18 = 58
  • Mandibulary: 40 + 11 = 51

Aligner Wear time

  • 1 semana

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Mordida cruzada posterior corregida
  • Normal overjet and overbite achieved
  • Mejora significativa del resalte
  • Coincidencia de líneas medias
  • Arcadas alineadas y coordinadas
  • Alineación de ambas arcadas a través de desrrotación
  • Forma de la arcada mejorada
  • Todos los objetivos del tratamiento se lograron en el caso
  • Se lograron arcadas armoniosas

Comentarios

  • Expansion in the upper arch as needed to obtain space for 1.2 and increase intercanine width in combination with the use of MA Precion wings to allow class II correction
  • In the lower arch the crowding was corrected through expansion and proclination
  • Additional aligners were used to extrude 1.2 once space was created
  • The patient ended his phase 1 of treatment with Class II corrected into an almost a Class I molar relationship considering that lee way space will be used since still in mixed dentition
  • The case will be evaluated in the next 1-2 years and if needed a short phase II to correct minor tooth movements of permanent canines and bicuspids will be done
  • I shared this case to show how important the use of a phase I treatment for a growing patient with the use of not only tooth movement but also a functional treatment can be

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finales
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