Class II div 2
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding

Phase I treatment / Interceptive
,
Distalization
,
Intrusion
,
Expansion
,
Proclination
Courtesy of Dr T. Gruelle, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 8
  • Gender: female
  • Invisalign Submission Option: Invisalign First

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 30 + 36 = 66
  • Mandibulary: 30 + 36 = 66

Aligner Wear time

  • 1-week

Results achieved

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

Comments

  • Invisalign First with molar first expansion followed by expansion of the C's, D's and E's
  • After the initial set of aligners, we refined to capture the ectopic in the aligners.
  • We continued to expand to allow the appropriate space for the laterals.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged314
Click to compare enlarged308