Class II div 2
,
Deep bite
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

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

Treatment Summary

Patient Information

  • Age: 11
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen with MA

Total Treatment Time

  • 13 months

Number of aligners

  • Maxillary: 32 + 20 = 52
  • Mandibulary: 32 + 20 = 52

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Deepbite improved
  • Overjet improved
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • All treatment goals were achieved case

Comments

  • Class II sagittal relationship corrected through the use of MA wings in combination with upper and lower expansion and anterior intrusion
  • This combined dental action and functional action allowed us to significantly improve the deep bite and end phase 1 treatment with almost class I molar relationship considering that some posterior deciduous teeth still have to exfoliate and thus lee way space will be used
  • Patient is currently in retention with vivera retainers in this standby phase, will wait for at least one year until the full permanent dentition will be out to evaluate the need for a short phase II to complete minor tooth movements

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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