Class I
,
Mandibular retrognathia
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations
,
Impacted canines
,
Diastema

Extrusion
,
Expansion
,
Phase I treatment / Interceptive
,
Overtreatment
Courtesy of Dr M. Figueiredo, 2021
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 22 + 25 = 47
  • Mandibulary: 22 + 25 = 47

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship maintained
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Result was achieved by redirecting facial growth (control of the occlusal plane).
  • Opening space between teeth 4.1 and 8.4 was provided to level the lower incisors, correct the deviation from the midline and provide space for the eruption of lower canines.
  • Posterior rotation of the upper and lower molars.

Images

Initial and final

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upper
lower
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Progress

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right
front
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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