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

Distalization
,
Leveling Curve of Spee
,
Expansion
,
IPR
Courtesy of Dr S. Palma Moya, 2017
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 14
  • Gender: male
  • Invisalign Submission Option: Teen

Total Treatment Time

  • 16 months

Number of aligners

  • Maxillary: 35
  • Mandibulary: 35

Aligner Wear time

  • 2-weeks

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • We have achieved these results by making a sequenced expansion, first the right side during the distalization and then the left.
  • To finish we did whitening.

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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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