Class II div 1
,
Class III
,
Posterior crossbite
,
Open bite
,
Narrow arches
,
Maxillary midline deviation
,
Mandibular midline deviation

Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR
,
Elastics: vertical
Courtesy of Dr F. Escobar, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 24 months

Number of aligners

  • Maxillary: 30 + 14 + 13 = 57
  • Mandibulary: 30 + 14 + 13 = 57

Aligner Wear time

  • 10 days

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

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

Comments

  • We worked with upper cranial expansion associated with intrusion of posterior molars and extrusion of maxillary and mandibular incisors.
  • Such movements favored the clockwise rotation of the mandible, closing the anterior open bite.

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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