Class II div 1, Increased overjet, Mandibular retrognathia, Narrow arches, Asymmetric arches, Mandibular midline deviation, Midline shift, Crowding, Rotations
Mandibular advancement
, Pre Mandibular advancement phase
, Distalization
, Leveling Curve of Spee
, Extrusion
, Intrusion
, Expansion
Courtesy of Dr S. Ceylanoğlu,
2023
Treatment Summary
Patient Information
- Age: 10
- Gender: female
- Invisalign Submission Option: Invisalign Teen with MA
Total Treatment Time
- 17 months
Number of aligners
- Maxillary: 55 + 12 = 67
- Mandibulary: 55 + 12 = 67
Aligner Wear time
- 1-week
Retention
- Maxillary: Vivera retainer
- Mandibular: Vivera retainer
Results achieved
- Class I relationship achieved
- Functional canine guidance on both sides
- Normal overjet and overbite achieved
- Overjet improved
- Significant improvement of overjet
- Midlines coincident
- Proper axial inclination of incisors
- Curve of Spee leveled
- Arches aligned and coordinated
- Alignment of both arches through derotation
- Arch form improved
- Aesthetic smile line was achieved
- All treatment goals were achieved case
- Harmonic arches were achieved
Comments
- I expanded and coordinated both arches through the de-rotation of molars.
- Between stages #22-27 in the pre-MA phase, buttons and elastics were used for extrusion of the upper canines.
- Attachments on the upper canines were not initially planned because of their high position and to avoid any fit or tracking issues.
- Although precision cuts were planned, no vertical elastics were used during the MA phase.
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