15 Chapter 18Fig. 18.1 Skeletal growth pattern has to be carefully evaluated in growing p...Fig. 18.2 Upper temporary spacing is 3 mm, on average, while tooth discrepan...Fig. 18.3 Severe crowding on temporary teeth leads to future extractions or ...Fig. 18.4 Disjunction and protraction should be performed on EC1, while mand...Fig. 18.5 Anterior crossbite management should be addressed early.Fig. 18.6 Skeletal class II can be achieved before than usual if overjet is ...Fig. 18.7 More simple devices can achieve less objectives than aligners.Fig. 18.8 Upper compression with posterior and anterior crowding.Fig. 18.9 Views with the Hyrax before Invisalign First.Fig. 18.10 Panoramic X‐ray before Hyrax.Fig. 18.11 After the Hyrax and before Invisalign First (10‐year‐old patient)...Fig. 18.12 Panoramic X‐ray before Invisalign First.Fig. 18.13 Upper CC superimposition and instructions to CAD designer.Fig. 18.14 Lower CC superimposition and instructions to CAD designer.Fig. 18.15 Right ClinCheck view, initial situation.Fig. 18.16 Left ClinCheck view, initial situation.Fig. 18.17 Attachments can be seen in several areas of the ClinCheck softwar...Fig. 18.18 Pretreatment intraoral views (left, front, right) before Invisali...Fig. 18.19 Intraoral views (left, front, right) with first aligner.Fig. 18.20 Actual situation in additional aligners.Fig. 18.21 Initial and final occlusal (upper and lower).Fig. 18.22 Initial and final smile.Fig. 18.23 Severe crowding impeding proper lateral incisor eruption both in ...Fig. 18.24 Taking advantage of aligner biomechanics by distalizing the secon...Fig. 18.25 Pretreatment intraoral views (right, front, left, upper, lower)....Fig. 18.26 Pretreatment panoramic X‐ray showing current dentition status and...Fig. 18.27 Initial extraoral views.Fig. 18.28 Pretreatment Clinchecks (right, front, left, upper, lower).Fig. 18.29 Refinement: (left) 32 has erupted and does not fit in the aligner...Fig. 18.30 Refinement: panoramic X‐rays show the evolution of the sagittal m...Fig. 18.31 Refinement development: Both available arch space and transverse ...Fig. 18.32 Refinement: 12, 22 have erupted but their clinical crowns are not...Fig. 18.33 Final Intraoral views (right, front, left, upper, lower) showing ...Fig. 18.34 Final and final smile views show an improvement in arch developme...Fig. 18.35 Lateral X‐ray shows incisor proclination as a result of the mecha...Fig. 18.36 Class II growing patient, Lite treatment.Fig. 18.37 Pretreatment views before phase 1 with Hyrax and D‐gainer.Fig. 18.38 Lateral and panoramic X‐rays before phase 1 with Hyrax and D‐gain...Fig. 18.39 Extraoral and intraoral (right, front, left, upper, lower) views ...Fig. 18.40 Panoramic X‐ray, teleradiograph and cephalometry before Invisalig...Fig. 18.41 Upper CC superimposition and instructions to CAD designer.Fig. 18.42 Lower CC superimposition and instructions to CAD designer.Fig. 18.43 Right ClinCheck view, initial situation.Fig. 18.44 Left ClinCheck view, initial situation.Fig. 18.45 Attachments and IPR can be seen in several areas of the ClinCheck...Fig. 18.46 Intraoral views (right, front, left, upper, lower).Fig. 18.47 Intraoral views (right, front, left, upper, lower).Fig. 18.48 Initial and final occlusal views (upper and lower).Fig. 18.49 Pretreatment and final smile and overjet.Fig. 18.50 Initial and final profiles.Fig. 18.51 Final panoramic and lateral X‐rays.Fig. 18.52 Initial intraoral picture.Fig. 18.53 Pretreatment views.Fig. 18.54 Pretreatment panoramic X‐ray, teleradiograph and cephalometry.Fig. 18.55 Upper CC superimposition and instructions to CAD designer.Fig. 18.56 Lower CC superimposition and instructions to CAD designer.Fig. 18.57 Interproximal reduction necessary to upright lower incisors befor...Fig. 18.58 Right ClinCheck view, initial situation.Fig. 18.59 Left ClinCheck view, initial situation.Fig. 18.60 Pretreatment intraoral views (left, front, right).Fig. 18.61 Month 6 of evolution: intraoral views (left, front, right).Fig. 18.62 Refinement: month 15 of evolution; intraoral views (left, front, ...Fig. 18.63 Final intraoral views (right, front, left, upper, lower).Fig. 18.64 Pretreatment and final smile.Fig. 18.65 Final panoramic and lateral X‐rays.Fig. 18.66 Class III growing patient comprehensive treatment, with 23 includ...Fig. 18.67 Intraoral views (right, front, left, upper, lower).Fig. 18.68 Panoramic X‐ray, teleradiograph, cephalometry.Fig. 18.69 Upper CC superimposition and instructions to CAD designer.Fig. 18.70 Lower CC superimposition and instructions to CAD designer.Fig. 18.71 Right ClinCheck view, initial situation.Fig. 18.72 Left ClinCheck view, initial situation.Fig. 18.73 Interproximal reduction in lower arch to create positive overjet....Fig. 18.74 Opening space for 15 (lateral view).Fig. 18.75 Opening space for 15 (occlusal view).Fig. 18.76 Locatelli to open space for 15 and 23.Fig. 18.77 Situation at the end of first set of aligners.Fig. 18.78 (a–f) Transversal development of the arches.Fig. 18.79 Month 18 of evolution, intraoral views.Fig. 18.80 Final views with15 and 23 in place.Fig. 18.81 By labial.Fig. 18.82 By lingual.Fig. 18.83 Class I deep bite Lite treatment.Fig. 18.84 Pretreatment views (right, front, left, upper, lower).Fig. 18.85 Upper CC superimposition and instructions to CAD designer.Fig. 18.86 Lower CC superimposition and instructions to CAD designer.Fig. 18.87 Attachments and IPR can be seen in several areas of the ClinCheck...Fig. 18.88 Left ClinCheck view, initial situation.Fig. 18.89 Right ClinCheck view, initial situation.Fig. 18.90 Pretreatment panoramic X‐ray, teleradiography and cephalometry.Fig. 18.91 Pretreatment (upper) and final (lower) results.Fig. 18.92 Initial and final occlusal (upper and lower).Fig. 18.93 Pretreatment and final smiles and overjets.Fig. 18.94 Final panoramic and lateral X‐rays.Fig. 18.95 Ectopic palatal canine.Fig. 18.96 Initial intraoral views (right, front, left, upper, lower).Fig. 18.97 Initial extraoral views.Fig. 18.98 Initial intraoral views: traction 1, 2, 3.Fig. 18.99 Initial lateral and panoramic X‐rays.Fig. 18.100 Refinement: intraoral views (right, front, left, upper, lower)....Fig. 18.101 ClinChecks: right, front, left, upper, lower.Fig. 18.102 Traction 4 and 5. Initial traction was delivered with constant f...Fig. 18.103 Refinement 2: intraoral views (right, front, left, upper, lower)...Fig. 18.104 Smile at refinement 2.Fig. 18.105 Refinement 2 ClinChecks (right, front, left, upper, lower).Fig. 18.106 Final intraoral views.Fig. 18.107 Final smile view.Fig. 18.108 Current cephalometric measurements.Fig. 18.109 Ortopantomographs (OPG) 0, 1, 2, 3. Evolution of the canine with...Fig. 18.110 Temporary 52.Fig. 18.111 Initial intraoral views (right, front, left, upper, lower).Fig. 18.112 Pretreatment panoramic X‐ray with wisdom teeth present.Fig. 18.113 Final intraoral views (right, front, left, upper, lower).Fig. 18.114 Initial and final panoramic X‐rays. Right class I was achieved e...Fig. 18.115 Final lateral X‐ray and cephalometric analysis.
16 Chapter 19Fig. 19.1 Classic NiTi archwires were only available on standard sizes and s...Fig. 19.2 Expansion can be defined in a precise way, with the decision about...Fig. 19.3 Expansion with aligners can be defined in between Fa point (blue l...Fig.