Class II div 1
,
Narrow arches
,
Posterior crossbite
,
Midline shift
,
Crowding
,
Spacing

Intrusion
,
Expansion
,
Space Closure

Treatment information

  • Age: 10
  • Gender: female
  • Invisalign Treatment Option: Invisalign First

Diagnostic Summary

  • Class II div 1
  • Narrow arches
  • Posterior crossbite
  • Midline shift
  • Crowding
  • Spacing

Use of:

  • Expansion
  • Intrusion
  • Space Closure
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3)
  • Optimized multiplane (G4) on Buccal 2.b (ULb)
  • Optimized retention attachment (Phase 1) on Buccal 2.6 (UL6), Buccal 3.6 (LL6), Buccal 2.e (ULe), Buccal 4.e (LRe), Buccal 3.e (LLe)
  • Optimized expansion support attachment (Phase 1) on Buccal 1.d (URd), Buccal 1.e (URe)
Courtesy of Dr. S. Palma Moya 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final of Phase I
lower
right
front
left

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Posterior crossbite corrected
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line¬†was achieved
  • Harmonic arches were achieved

Total treatment Time

  • 10 months

Number of aligners

  • Maxillary: 23
  • Mandibular: 26

Aligner wear time

  • 2-weeks

Comments

  • The patient has been treated with the Invisalign First treatment option
  • We achieved all the treatment goals for Phase I
  • We will continue with a Phase II treatment with Invisalign Teen clear aligners

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear