Classe II div. 1
,
Morso crociato posteriore
,
Aumento dell'overjet
,
Open bite
,
Arcate strette
,
Deviazione della linea mediana mascellare
,
Spostamento della linea mediana
,
Affollamento
,
Rotazioni

Avanzamento mandibolare
,
Espansione
,
Proclinazione
,
Trattamento di fase I/preventivo
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 mesi

Numero di aligner

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

Aligner Wear time

  • 1settimana

Results achieved

  • Relazione di Classe I
  • Guida funzionale dei canini su entrambi i lati
  • Morso crociato posteriore corretto
  • Normal overjet and overbite achieved
  • Miglioramento significativo dell'overjet
  • Linee mediane coincidenti
  • Arcate allineate e coordinate
  • Allineamento di entrambe le arcate attraverso la derotazione
  • Miglioramento della forma dell’arcata
  • Tutti gli obiettivi di trattamento sono stati raggiunti
  • Armonizzazione delle arcate

Commenti

  • 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
InizialeFinale
Before picture of treatment
After picture of treatment
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Le radiografie

Iniziale Finale
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