Class II div 1
,
Narrow arches
,
Maxillary midline deviation
,
Crowding
,
Rotations
,
Impacted canines

Distalization
,
Expansion
,
IPR
Courtesy of Dr G. Aparicio, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 60
  • Mandibulary: 30

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
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Distalization and expansion were performed to create space for ideal canine impacted eruption.
  • Eruption compensation over 1.3 to guide the path for eruption.
  • Distalization in upper arch was performed to achieve Class I, and midline correction.
  • Once the space for the impacted canine was created and it began to erupt, an elastic was used from a button on the buccal surface to the aligner to extrude this tooth.
  • No additional aligners were used.

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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