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
Before picture of treatment

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.

Images

Initial and final

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upper
lower
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front
left
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lower
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front
left

Progress

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lower
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front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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