Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

Summary

Results achieved

• Class I relationship achieved
• Functional canine guidance on both sides
• Anterior crossbite corrected
• Normal  overjet and overbite achieved
• Significant improvement of overbite
• Significant improvement of overjet
• Midlines coincident
• Proper axial inclination of incisors
• Curve of Spee leveled
• Arches aligned and coordinated
• Aesthetic smile line was achieved 
• All treatment goals were achieved case
• Harmonic arches were achieved

Comments

• Arch expansion was the primary mode of gaining space. The aligner clearance was good enough to disclude the teeth during crossbite correction.
• The patient was instructed to wear the aligners while eating during the crossbite correction.
• The deciduous teeth shed in between the first round of aligners. Hence the second round was required to finish Phase 1.
• The second phase began nearly 2 years later. Here again, expansion was achieved along with IPR in the anterior teeth to have stable contacts.
• Vivera retainers (3 sets) were given to ensure the continued stability of the teeth.