Class I
,
Anterior crossbite
,
Narrow arches
,
Midline shift
,
Crowding
,
Class II

Expansion
,
IPR
Courtesy of Dr M. Agustina De Nicolas, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: female
  • Invisalign Submission Option: Invisalign First

Number of aligners

  • Maxillary: 33 + 25 + 18 = 76
  • Mandibulary: 33 + 25 + 18 = 76

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Aesthetic smile line was achieved
  • Alignment of both arches through derotation
  • Arch expansion achieved
  • Arch form improved
  • Arches aligned and coordinated
  • Class I relationship achieved
  • Curve of Spee leveled
  • Functional overjet and overbite
  • Harmonic arches were achieved
  • Midlines coincident
  • Posterior crossbite corrected

Comments

  • We re-established the functions, through the expansion (with molar move first staging) alignment and leveling all the teeth during the expansion.
  • We also achieved Class I molar and canine on the left side (by expansion and distal rotation of 2.6).
  • We corrected the cross bite with expansion and putting the patient chewing through both sides.
  • We correct the open bite with expansion and extrusion.
  • We restored occlusal balance (allowing the mandible to bi-balance correctly).
  • We improved the airway by nasal breathing and relocating the tongue in the palate (with arches development and tongue trust).
  • We redirected growth (because we changed the occlusal plane and we correct imbalance).

Images

Initial and final

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left
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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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