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

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

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
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