Clase II div. 1, Mordida cruzada posterior, Resalte aumentado, Open bite, Arcadas estrechas, Desviación de la línea media maxilar, Desplazamiento de la línea media, Apiñamiento, Rotaciones
Avance mandibular
, Expansión
, Proinclinación
, Tratamiento de fase I/Interceptivo
Courtesy of Dr F. Garino,
2019
Treatment Summary
Patient Information
- Age: 9
- Gender: female
- Invisalign Submission Option: Invisalign Teen with MA
Total Treatment Time
- 17 meses
Número de aligners
- Maxillary: 40 + 18 = 58
- Mandibulary: 40 + 11 = 51
Aligner Wear time
- 1 semana
Results achieved
- Consecución de una relación de Clase I
- Guía canina funcional en ambos lados
- Mordida cruzada posterior corregida
- Normal overjet and overbite achieved
- Mejora significativa del resalte
- Coincidente con líneas medias
- Arcadas alineadas y coordinadas
- Alineación de dos arcadas mediante desrotación
- Forma de la arcada mejorada
- Todos los objetivos del tratamiento alcanzados
- Se han conseguido arcadas armónicas
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
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