Class I
,
Class II div 2
,
Deep bite
,
Narrow arches
,
Crowding

Phase I treatment / Interceptive
,
Distalization
,
Intrusion
,
Expansion
,
Proclination
,
Elastics: Class II
Courtesy of Dr T. Gruelle, 2018
Before picture of treatment

Treatment in the Spotlight

Dr T. Gruelle

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. '

 

Dr T. Gruelle

Treatment Summary

Patient Information

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

Total Treatment Time

  • 9 months

Number of aligners

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

Aligner Wear time

  • 5 days

Results achieved

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

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

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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