Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Rotations
,
Spacing
,
Diastema

Mandibular advancement
,
Pre Mandibular advancement phase
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Space Closure
,
Phase I treatment / Interceptive
Courtesy of Dr W. Chi Chiu, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: male
  • Invisalign Treatment Option: Invisalign First

Number of aligners

  • Maxillary: 35 + 30 = 65
  • Mandibulary: 35 + 30 = 65

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overjet
  • 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

  • This is a Phase I early interceptive orthodontic treatment with mandibular advancement for correction of mandibular retrognathism and large overjet and deep overbite relationship.
  • Leveling and alignment of upper and lower anterior incisors are programmed with space closure of anterior dentition.
  • Expansion was planned over posterior region to create space for eruption of future permanent canines.
  • Invisalign First treatment is a very powerful tool for the correction of skeletal and dental issues simultaneously in kids.
  • Follow-up for future stage II orthodontic evaluation after all permanent teeth have erupted is suggested.

Images

Initial and final

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lower
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front
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front
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Progress

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lower
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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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