Class I
,
Anterior crossbite
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Crowding
,
Rotations

Leveling Curve of Spee
,
Expansion
,
IPR
,
Phase I treatment / Interceptive
Courtesy of Dr L. Chin Chou, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: female
  • Invisalign Submission Option: Invisalign First

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 40 + 22 + 27 = 89
  • Mandibulary: 40 + 22 + 22 = 84

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship maintained
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • 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

  • Use expansion and IPR to relieve the severe crowding.
  • After flattening the curve of Spee, the mandible will jump to the proper position, and combined with growth, the mandible advance to the proper position.
  • Upper 2-2 retraction can solve the protrusive lips.

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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