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 Treatment 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

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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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