Class II div 1
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
Phase I treatment / Interceptive
Courtesy of Dr H. Morimoto, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 10
  • Gender: male
  • Invisalign Submission Option: Invisalign First

Total Treatment Time

  • 5 months

Number of aligners

  • Maxillary: 21
  • Mandibulary: 17

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Class I relationship maintained
  • Normal  overjet and overbite achieved
  • Overjet improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 

Comments

  • The treatment goal for this case was to obtain permanent tooth eruption space as the first priority.
  • The mandibular right molar was characteristically inclined inward, and it was determined that good dentition was achieved by expansion treatment with optimal attachment.
  • A good dentition was achieved with the expectation of a good permanent canine relationship. Permanent tooth replacement should be closely monitored in the future.

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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