Class II div 1
,
Increased overjet
,
Narrow arches
,
Crowding
,
Rotations
,
Diastema

Mandibular advancement
,
Leveling Curve of Spee
,
Expansion
,
Phase I treatment / Interceptive
Courtesy of Dr F. Garino, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen with MA

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 42 + 36 = 78
  • Mandibulary: 42 + 36 = 78

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case

Comments

  • During the first series of aligners the excessive overjet was corrected with the use of the Precision wing feature in combination with upper expansion, thus having both a dental effect and a functional effect
  • With the second series of aligners we controlled the rotations of lower permanent canines and added one step of mandibular advancement

Images

Initial and final

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upper
lower
right
front
left
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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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