Classe II Div 1, Mordida cruzada posterior, Aumento do trespasse horizontal, Open bite, Arcos estreitos, Desviación de la línea media maxilar, Mudança da linha média, Acavalamento, Rotações
Avanço mandibular
, Expansão
, Vestibularização
, Tratamento da 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 alinhadores
- Maxillary: 40 + 18 = 58
- Mandibulary: 40 + 11 = 51
Aligner Wear time
- 1 semana
Results achieved
- Relação de Classe I obtida
- Orientação canina funcional em ambos os lados
- Mordida cruzada posterior corrigida
- Normal overjet and overbite achieved
- Melhoria significativa do trespasse horizontal
- Linhas médias coincidentes
- Arcos alinhados e coordenados
- Alinhamento dos dois arcos através de derrotação
- Forma de arco melhorada
- Todos os objetivos de tratamento foram casos alcançados
- Os arcos harmônicos foram alcançados
Comentários
- 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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