a...Fig. 19.131 Second phase ClinChecks (front, upper, lower).Fig. 19.132 Third phase: intraoral views (front and upper).Fig. 19.133 After 16 aligners space was closed, palatal suture was still ope...Fig. 19.134 Third phase ClinChecks (front, upper, lower).Fig. 19.135 Final intraoral views: front, upper, lower.Fig. 19.136 Pretreatment and final smile.Fig. 19.137 Initial and final cephalometric measurements, with the final pos...Fig. 19.138 Final panoramic X‐ray. Patient smile was widened and skeletal ba...17 Chapter 20Fig. 20.1 Precision cuts and button cutouts: to hold the intermaxillary elas...Fig. 20.2 Precision hooks would equal to archposts in fixed appliances.Fig. 20.3 Button cutouts allow bonding a metal/ceramic button.Fig. 20.4 Class II, division 2 will benefit from two button cutouts for clas...Fig. 20.5 Class II, division 1 will benefit from canine hook and molar butto...Fig. 20.6 Mesial‐in rotation of the canine.Fig. 20.7 Mesial‐out rotation of the canine.Fig. 20.8 Whenever a lingual button is placed on the lingual surface of the...Fig. 20.9 Occlusal view of lingual buttons on upper canines.Fig. 20.10 Pontic to cover missing 34.Fig. 20.11 Traction of impacted canine using elastic from button in canine t...Fig. 20.12 Interproximal reduction can be performed on upper premolars to di...Fig. 20.13 With class II or class III elastics use, visualization will be sh...Fig. 20.14 From a ‘left 90 degrees view’ the sequential distalization is see...Fig. 20.15 Sequential distalization increases surface contact with molars on...Fig. 20.16 Effect of a coil spring opening space is similar to sequential di...Fig. 20.17 Effect of a coil spring opening space would lead to lack of torqu...Fig. 20.18 Effect of a coil spring opening space would lead to anterior proc...Fig. 20.19 Posterior Powerwings on aligner help advancing mandible on growin...Fig. 20.20 Class II profiles will benefit from this feature.Fig. 20.21 Class II, division 2 incisors need treatment sequence like this: ...Fig. 20.22 Class II, division 2 incisors need a treatment sequence such as: ...Fig. 20.23 Upper expansion leads to higher arch depth reduction and resolvin...Fig. 20.24 Clinchecks: a 45 degree upper molar derotation solves up to 1 mm ...Fig. 20.25 Intraoral views: a 45 degree upper molar derotation solves up to ...Fig. 20.26 Lower mesialization is represented in yellow, and results from th...Fig. 20.27 Biomechanics is the basis of an orthodontic treatment, regardless...Fig. 20.28 Distalization should start just after wisdom tooth extraction so ...Fig. 20.29 Growth has to be carefully checked before a mandibular advancemen...Fig. 20.30 Eruption compensator in a canine.Fig. 20.31 Any contact over 12 g will interrupt the tooth eruption.Fig. 20.32 Terminal molar tabs prevent molars supra‐eruption creating poster...Fig. 20.33 Initial intraoral view.Fig. 20.34 Pretreatment extraoral and intraoral views.Fig. 20.35 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 20.36 Intraoral situation after Herbst appliance. After the first phase...Fig. 20.37 Upper and lower ClinCheck views.Fig. 20.38 Comparison of initial (upper row) with final result (lower row)....Fig. 20.39 Initial (left) and final occlusal(right).Fig. 20.40 Initial (left) and final overjet (right).Fig. 20.41 Mandibular changes.Fig. 20.42 Changes in profile.Fig. 20.43 Initial smile (left), smile at the end of first phase (middle) an...Fig. 20.44 Initial and final lateral X‐rays.Fig. 20.45 Intraoral initial picture.Fig. 20.46 Initial extraoral and intraoral views.Fig. 20.47 Occlusal contact at the beginning of the treatment.Fig. 20.48 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 20.49 Initial upper and lower ClinCheck views.Fig. 20.50 Initial right and left ClinCheck views.Fig. 20.51 Initial frontal Clincheck view.Fig. 20.52 Goal of treatment: mandibular advancement into a bilateral class ...Fig. 20.53 Initial occlusion (upper), month 6 of evolution (middle), with al...Fig. 20.54 Mandibular advancement in the first six months of treatment.Fig. 20.55 New ClinCheck, asking to level the curve of Spee before continuin...Fig. 20.56 Aligner 17 of additional aligners using class II elastics.Fig. 20.57 Position of class II elastics (from lingual of upper first premol...Fig. 20.58 Situation at the end of mandibular advancement phase, before aski...Fig. 20.59 Comparison between initial (upper) and final occlusion (lower).Fig. 20.60 Final arch development.Fig. 20.61 Comparison initial and final overjet.Fig. 20.62 Comparison of initial and final smile.Fig. 20.63 Mandibular changes after 18 months of treatment.Fig. 20.64 Comparison in chin projection between initial, before additional ...Fig. 20.65 Final lateral X‐ray.Fig. 20.66 Initial intraoral view.Fig. 20.67 Pretreatment extraoral and intraoral views.Fig. 20.68 Lower skeletal asymmetry. Normal upper incisors exposure at rest ...Fig. 20.69 Initial panoramic X‐ray, teleradiograph and cephalometry. The AimFig. 20.70 Initial upper and lower ClinCheck views.Fig. 20.71 Lateral ClinCheck views.Fig. 20.72 Initial frontal Clincheck view.Fig. 20.73 Comparison between initial (upper) and final occlusion (lower).Fig. 20.74 Initial (left) and final occlusal (right).Fig. 20.75 Initial and final smile.Fig. 20.76 Panoramic and lateral X‐rays.Fig. 20.77 Initial intraoral view.Fig. 20.78 Pretreatment extraoral and intraoral views.Fig. 20.79 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 20.80 Initial upper and lower ClinCheck viewsFig. 20.81 Initial right and left ClinCheck views.Fig. 20.82 Initial front ClinCheck view.Fig. 20.83 Upper sequential distalization and lower sequential mesialization...Fig. 20.84 Comparison between initial (upper) and final (lower) occlusion.Fig. 20.85 Before (left) and after (right) lower occlusal views.Fig. 20.86 Initial and final smile and overjet.Fig. 20.87 Final panoramic and lateral X‐rays.Fig. 20.88 Initial intraoral view.Fig. 20.89 Pretreatment extraoral and intraoral views.Fig. 20.90 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 20.91 Upper and lower occlusal ClinCheck views.Fig. 20.92 Right and left ClinCheck views.Fig. 20.93 Front ClinCheck view.Fig. 20.94 Treatment interproximal reduction.Fig. 20.95 Sequential upper distalization pattern.Fig. 20.96 Before (upper) and after (lower) intraoral views.Fig. 20.97 Initial (left) and final (right) occlusal.Fig. 20.98 Initial and final smile and overjet.Fig. 20.99 Final panoramic and lateral X‐rays.Fig. 20.100 Initial intraoral view.Fig. 20.101 Pretreatment extraoral and intraoral views.Fig. 20.102 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 20.103 Superimposition, upper occlusal ClinCheck view.Fig. 20.104 Superimposition, lower occlusal ClinCheck view.Fig. 20.105 Biomechanics for simultaneous distalization.Fig. 20.106 Clincheck view.Fig. 20.107 Right and left ClinCheck views.Fig. 20.108 Initial views (upper), before additional aligners (middle) and f...Fig. 20.109 Before (left) and after (right) occlusal views.Fig. 20.110 Simultaneous distalization pattern.Fig. 20.111 Before and after treatment smile.Fig. 20.112 Final panoramic and lateral X‐rays.Fig. 20.113 Distalization from 3 to 7 in a row pattern.Fig. 20.114 Extraoral analysis: mandibular asymmetry.Fig. 20.115 Initial intraoral views.Fig. 20.116 Scissor bite on left side.Fig. 20.117 Scissor bite on left side.Fig. 20.118 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 20.119 ClinCheck upper occlusal view. Correct class II by simultaneous ...Fig. 20.120 ClinCheck lower occlusal view.Fig. 20.121 Interproximal reduction.Fig. 20.122 Lateral views: Class II elastics from upper 4 to lower 7.Fig. 20.123 Evolution after 13 months.Fig. 20.124 Rein horse to distalize upper molars from TADs in the tuberosity...Fig. 20.125 Evolution after 17 months.Fig. 20.126 Correction of scissor bite.Fig. 20.127 Initial (upper) and final occlusion (lower).Fig. 20.128 Before (left) and after (right) occlusal.Fig. 20.129 Comparison of before (left) and after smile (right).Fig. 20.130 Before (left) and after (right) profile.Fig. 20.131 Final panoramic and lateral X‐rays.Fig. 20.132 Simultaneous distalization from 5 to 5 pattern.Fig. 20.133 Pretreatment extraoral and intraoral views.Fig. 20.134 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 20.135 Initial upper and lower ClinCheck views.Fig. 20.136 Interproximal reduction from 33 to 43 to upright lower incisors....Fig. 20.137 Right and left ClinCheck views.Fig. 20.138 Intra‐arch Powerchain from upper canine to first molar to guide ...Fig. 20.139 Initial (upper) and final (lowe) intraoral views.Fig. 20.140 Occlusal before (left) and after (right) treatment.Fig. 20.141 Final occlusal contact.Fig. 20.142 Initial (left) and final smile (right).Fig. 20.143 Final panoramic and lateral X‐rays: maintenance of lower incisor...Fig. 20.144 Top jet appliance.Fig. 20.145 Pretreatment extraoral and intraoral views.Fig. 20.146
