Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Open bite

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

Treatment Summary

Patient Information

  • Age: 10
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen with MA

Total Treatment Time

  • 14 months

Number of aligners

  • Maxillary: 34 + 19 = 53
  • Mandibulary: 34 + 12 = 46

Aligner Wear time

  • 1-week

Results achieved

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

Comments

  • This patient started a phase I treatment where goals are achieved through upper expansion, upper extrusion and the use of precision wings to use the functional effect of the MA feature to accomplish a Class I molar and canine on both sides
  • Additional aligners goals were to settle occlusion and obtain a more solid interdigitation mainly in the molar area
  • Patient is in late mixed dentition now. We will evaluate the need for a short phase II treatment once the full permanent dentition erupted

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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