Class II div 1
,
Open bite
,
Narrow arches
,
Crowding
,
Diastema

Extrusion
,
Intrusion
,
Expansion
,
Retraction
Courtesy of Dr F. Escobar, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 7
  • Gender: female
  • Invisalign Treatment Option: Invisalign First

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 33 + 26 = 59
  • Mandibulary: 37 + 26 = 63

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Class I relationship achieved
  • NormalĀ  overjet and overbite achieved
  • Overjet improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

The objectives were achieved through the expansion of the arches, extrusion of the incisors, gentle intrusion of the posterior teeth. In addition, we obtained the correct alignment and leveling of the teeth, which also allowed the correct management of spaces for permanent teeth.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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ClinCheck treatment plan

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Smartforce features

  • Optimized rotation attachment (G3) on Buccal 2.c (ULc), Buccal 4.c (LRc), Buccal 4.d (LRd), Buccal 3.c (LLc)
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 2.2 (UL2), Buccal 4.1 (LR1), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized multi-plane attachments for molars (G7+) on Buccal 2.6 (UL6)
  • Optimized expansion support attachment (Phase 1) on Buccal 1.d (URd), Buccal 1.e (URe), Buccal 2.e (ULe)