Class II div 1
,
Deep bite
,
Narrow arches
,
Crowding
,
Rotations

Distalization
,
Leveling Curve of Spee
,
Extrusion
,
Intrusion
,
Proclination
,
Phase I treatment / Interceptive
Courtesy of Dr F. Escobar, 2021
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 29 + 18 + 13 = 60
  • Mandibulary: 29 + 18 + 13 = 60

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Deepbite improved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case

Comments

  • We used the expansion of the arches with SmartSage activation for Invisalign First treatments associated with the rotation of the molars to optimize the obtained expansion.
  • We used proclination of the upper and lower incisors as well.
  • The increase in the perimeter of the arches was essential to obtain the correct space for the alignment of the incisors.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged316
Click to compare enlarged310