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
• Midlines coincident
• Proper axial inclination of incisors
• Curve of Spee leveled
• Arches aligned and coordinated
• Arch form improved
• Aesthetic smile line was achieved 

Comments

• Satisfactory results were achieved by prioritizing the preservation of space for the eruption of permanent teeth and incorporating treatment to improve the crossbite of the maxillary right central incisor.
• Although few attachments were used in this treatment plan, thanks to the precision manufacturing of the aligners, the fit was excellent, and the staging via ClinCheck was appropriate, allowing the achievement of the planned outcomes.
• It is considered that the aligner for the crossbite at the maxillary right central incisor was able to produce the appropriate results without the use of attachments due to the tight intercuspation induced by the occlusion.