Class II div 2
,
Open bite
,
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

  • 10 months

Number of aligners

  • Maxillary: 30 + 23 = 53
  • Mandibulary: 30 + 23 = 53

Aligner Wear time

  • 5 days

Results achieved

  • Class I relationship achieved
  • Arches aligned and coordinated

Comments

  • Invisalign First
  • Expanding molars first then C's, D's and E's
  • The incisors were aligned after expansion of the posterior segments
  • Extra space was created to allow for the eruption of the larger cuspids
  • We will improve occlusal in Phase II

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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