Class I
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding

Phase I treatment / Interceptive
,
Intrusion
,
Expansion
,
Proclination
,
Elastics: Class II
Courtesy of Dr T. Gruelle, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 8
  • Gender: male
  • Invisalign Treatment Option: Invisalign First

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 30 + 26 + 20 = 76
  • Mandibulary: 30 + 26 + 20 = 76

Aligner Wear time

  • 5 days

Results achieved

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

Comments

  • Invisalign first with molars expanded first then C's, D's and E's
  • Space created then refined to capture the UR2 which came in ectopically
  • The UL2 came in slower and we will refine if need be to capture and align it
  • When the delivery of the initial aligners was to occur, the LLB had not exfoliated. I placed an elastic around it and it fell out in 2 weeks.
  • The patient then began with aligner 3 on the lower and upper and great expansion in the lower arch was achieved

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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