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 Treatment 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

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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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