Class II div 1, Increased overjet, Mandibular retrognathia, Deep bite, Narrow arches, Crowding
Mandibular advancement
, Pre Mandibular advancement phase
, Distalization
, Leveling Curve of Spee
, Intrusion
, Expansion
, Retraction
, Proclination
, Elastics: Class II
Courtesy of Dr S. Alonso del Hoyo Cabetas,
2023

Treatment Summary
Patient Information
- Age: 9
- Gender: female
- Invisalign Submission Option: Invisalign First
Total Treatment Time
- 24 months
Number of aligners
- Maxillary: 31 + 25 = 56
- Mandibulary: 31 + 25 = 56
Aligner Wear time
- The frequency of change varies
Retention
- Maxillary: Other clear
- Mandibular: Other clear
Results achieved
- Class I relationship achieved
- Normal overjet and overbite achieved
- Curve of Spee leveled
- Arches aligned and coordinated
- Aesthetic smile line was achieved
Comments
- In this case we have made a mandibular advance to align, level, and correct the Spee and then we have made a mandibular advance with short class II elastics.
- In the refinement, we have finished getting the class by performing a distalization and we have closed the spaces a little, leaving room for the eruption of the canines.
- Between the first and second batch of aligners we have left rest time without aligners to allow the eruption of the permanent teeth.