Class I
,
Class II div 2
,
Deepbite
,
Narrow arches
,
Crowding

Phase I treatment / Interceptive
,
Elastics: Class II
,
Distalization
,
Intrusion
,
Expansion
,
Proclination

Treatment in the Spotlight

We would like to congratulate Dr. T. Gruelle for submitting the 700th treatment to the Gallery!

Doctor quote:' Phase 1 treatment is for me a cultural phenomenon, not only dictated by locale, but also by community standards and the primary care dentist. Having treated Phase I treatments since 2011, I welcomed Align's introduction of a product dedicated to "little smiles" with open arms. '

 

Treatment information

  • Age: 9
  • Gender: male
  • Invisalign Treatment Option: Invisalign First

Diagnostic Summary

  • Class I
  • Class II div 2
  • Narrow arches
  • Deepbite
  • Crowding

Use of:

  • Phase I treatment/Interceptive
  • Distalization
  • Expansion
  • Intrusion
  • Proclination
  • Elastics: Class II
  • Precision bite ramp (G5)
Courtesy of Dr T. Gruelle 2018

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final of Phase I
lower
right
front
left
Click to compare enlarged
upper
Progress
lower
right
front
left

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Arches aligned and coordinated
  • Arch form improved

Total treatment Time

  • 9 months

Number of aligners

  • Maxillary: 29 + 20 = 49
  • Mandibular: 29 + 20 = 49

Aligner wear time

  • 5 days

Comments

  • Invisalign First treatment.
  • we expanded, molars first then C's, D's and E's
  • Intrusion on maxillary and mandibular anterior teeth
  • Primarily proclination of anterior teeth for alignment
  • In R1 we used bite ramps on the U1's and programmed extrusion of the posterior teeth
  • Class 2 elastics were used on R1