Class II div 2
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Diastema

Intrusion
,
Expansion
,
Retraction
,
Space Closure
Courtesy of Dr F. Escobar, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 8
  • Gender: male
  • Invisalign Treatment Option: Invisalign First

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 33 + 19 + 11 = 63
  • Mandibulary: 33 + 19 + 11 = 63

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Class I relationship maintained
  • Functional canine guidance on both sides
  • Overjet improved
  • Significant improvement of¬†overbite
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case

Comments

  • Digital treatment planning was the expansion of the arches and retraction of the upper incisors with the closing of the diastema between incisors.
  • The biggest challenge of the treatment was to achieve good retention for the aligners since we had very short clinical crowns.
  • Another challenge was the intrusion and retraction of the upper incisors.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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