Anterior crossbite
,
Deep bite
,
Midline shift
,
Crowding
,
Spacing

Intrusion
,
Expansion
,
Proclination
Courtesy of Dr H. Ji, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 8
  • Gender: female
  • Invisalign Submission Option: Invisalign First

Total Treatment Time

  • 21 months

Number of aligners

  • Maxillary: 20 + 18 + 17 = 55
  • Mandibulary: 20 + 14 + 14 = 48

Aligner Wear time

  • 2w to 1w

Retention

  • Maxillary: Other Clear
  • Mandibular: Other Clear

Results achieved

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

Comments

  • To achieve normal overbite, intrusion of lower incisors was planned with precision bite ramps on upper incisors.
  • Because of short clinical crown of buccal of upper 1st molars, lingual attachments were added.
  • To regain eruption space for anterior teeth and correct midline deviation, I planned proclination of lower incisors.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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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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