intraoral view.Fig. 20.169 Manual precision cut on 13 allows optimized attachment on this t...Fig. 20.170 Initial intraoral views (right, front, left, upper, lower).Fig. 20.171 Initial panoramic and lateral X‐rays.Fig. 20.172 Initial Clinchecks.Fig. 20.173 Refinement: initial intraoral views (right, front, left, upper, ...Fig. 20.174 Refinement Clinchecks.Fig. 20.175 Final intraoral views (right, front, left, lower, upper).Fig. 20.176 Final panoramic and lateral X‐rays.Fig. 20.177 Before and after smiles, before aesthetic anterior restoration....Fig. 20.178 Initial intraoral view.Fig. 20.179 Initial intraoral views (right, front, left, upper).Fig. 20.180 Initial intraoral models to check class II relationship before 1...Fig. 20.181 Pretreatment panoramic and lateral X‐rays and cephalometry.Fig. 20.182 Initial extraoral views.Fig. 20.183 Initial Clinchecks (right, front, left, upper, lower).Fig. 20.184 Intraoral refinement (right, front, left, upper, lower).Fig. 20.185 Refinement Clinchecks: right, front, left, upper, lower.Fig. 20.186 Final intraoral views: right, front, left, upper with tongue tam...Fig. 20.187 Before and after smile, showing improvement in upper incisor dis...Fig. 20.188 Final cephalometric measurements (before and after).Fig. 20.189 Final panoramic X‐ray.Fig. 20.190 Posterior interproximal reduction will help create space (before...Fig. 20.191 Posterior interproximal reduction might be up to 1 mm per contac...Fig. 20.192 Sequential lower distalization is meant to be predictable up to ...Fig. 20.193 In class III cases, anchorage is extremely important. The anchor...Fig. 20.194 Temporary implant supported crowns help create posterior anchora...Fig. 20.195 Initial intraoral view.Fig. 20.196 Pretreatment extraoral and intraoral views.Fig. 20.197 Implant placement on 47 before starting Invisalign treatment.Fig. 20.198 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 20.199 Initial front view.Fig. 20.200 Initial ClinCheck front view..Fig. 20.201 Initial occlusal contact.Fig. 20.202 Sagittal priority of movements to solve the anterior crossbite. ...Fig. 20.203 Upper and lower ClinCheck views.Fig. 20.204 Initial (upper), evolution (middle) and situation after 12 month...Fig. 20.205 Arch evolution after treatment for 12 months.Fig. 20.206 Right and left initial ClinCheck views.Fig. 20.207 Arch development after 12 months.Fig. 20.208 Initial and final overjet and smile.Fig. 20.209 Initial intraoral picture.Fig. 20.210 Pretreatment extraoral and intraoral views.Fig. 20.211 Initial X‐ray: panoramic, teleradiograph and cephalometry.Fig. 20.212 Interproximal reduction.Fig. 20.213 Simultaneous movement pattern.Fig. 20.214 Extrusion of 27 owing to missing 47.Fig. 20.215 Anterior cross bite of 12.Fig. 20.216 Initial superimposition, ClinCheck upper and lower occlusal view...Fig. 20.217 Comparison of initial (upper) and final occlusion (lower).Fig. 20.218 Comparison of initial (left) and final occlusal (right).Fig. 20.219 Initial and final smile.Fig. 20.220 Final panoramic and lateral X‐rays.Fig. 20.221 Initial intraoral view.Fig. 20.222 Initial intraoral views.Fig. 20.223 Initial extraoral views.Fig. 20.224 Initial cone beam computed tomography and panoramic X‐ray.Fig. 20.225 Initial lateral X‐ray and cephalometric analysis.Fig. 20.226 Initial ClinChecks.Fig. 20.227 Refinement: intraoral views.Fig. 20.228 Refinement: extraoral views.Fig. 20.229 Current intraoral views.Fig. 20.230 Current smile.Fig. 20.231 Current cephalometric measurements.Fig. 20.232 Cone beam computed tomography measurements, before and after tre...Fig. 20.233 Final smile.Fig. 20.234 Initial intraoral view.Fig. 20.235 Initial smile.Fig. 20.236 Initial panoramic and lateral X‐rays.Fig. 20.237 Refinement: initial views after 6 months, when the patient decid...Fig. 20.238 The palatal suture is broken with the same anaesthesia that that...Fig. 20.239 The palatal suture is broken with the same anaesthesia that will...Fig. 20.240 After 2 weeks, the 8 mm screw is fully opened. The palatal surfa...Fig. 20.241 Refinement ClinChecks.Fig. 20.242 Second refinement: intraoral views.Fig. 20.243 Second refinement Clinchecks.Fig. 20.244 Final Intraoral views.Fig. 20.245 Final smile.Fig. 20.246 Final cephalometric examination.Fig. 20.247 Final panoramic X‐ray.Fig. 20.248 Initial frontal intraoral view.Fig. 20.249 Initial intraoral views.Fig. 20.250 Initial panoramic and lateral and X‐rays and cephalometry.Fig. 20.251 Initial extraoral view.Fig. 20.252 Initial Clinchecks.Fig. 20.253 Refinement: intraoral views.Fig. 20.254 Refinement ClinChecks.Fig. 20.255 Extraoral view after refinement.Fig. 20.256 Final intraoral views.Fig. 20.257 Final smile.Fig. 20.258 Initial and post‐treatment cephalometric analysis.Fig. 20.259 Initial intraoral view.Fig. 20.260 Pretreatment extraoral and intraoral views.Fig. 20.261 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 20.262 Simultaneous distalization pattern in upper and lower arches.Fig. 20.263 Upper and lower ClinCheck views.Fig. 20.264 interproximal reduction necessary in order not to procline lower...Fig. 20.265 Lateral ClinCheck views.Fig. 20.266 Rein horse with Powerchain to temporary anchorage devices in the...Fig. 20.267 Simultaneous upper distalization using temporary anchorage devic...Fig. 20.268 Simultaneous lower distalization using temporary anchorage devic...Fig. 20.269 Initial occlusion (upper) and situation at month 17 of treatment...Fig. 20.270 Arch development in 23 months. Powerchain from first upper and l...Fig. 20.271 Pretreatment and final smile and overjet.Fig. 20.272 Final panoramic and lateral X‐rays.
18 Chapter 21Fig. 21.1 Vertical cause, excess posterior facial height.Fig. 21.2 Dentoalveolar cause (protrusion).Fig. 21.3 Transversal cause, lingual torque of posterior teeth.Fig. 21.4 The amount of lingual tipping of upper and lower incisors helps to...Fig. 21.5 Gummy smile.Fig. 21.6 Low smile, short display.Fig. 21.7 The facial lower third determines whether to intrude or not to int...Fig. 21.8 Anchorage attachments.Fig. 21.9 Chewies or fitters are good for minor open bite cases.Fig. 21.10 Miniscrews used for absolute posterior intrusion greater than 3 m...Fig. 21.11 Open bite requires careful biomechanics planning.Fig. 21.12 Optimized anterior extrusion is mostly predictable if it is plann...Fig. 21.13 Posterior intrusion will have saggital effects as a result of man...Fig. 21.14 We have to face predictability of vertical movements in order to ...Fig. 21.15 Single optimized attachment for extrusion.Fig. 21.16 Optimized anterior extrusion is mostly predictable if it is plann...Fig. 21.17 Posterior open bite is a good overcorrection in this case.Fig. 21.18 Unpredictable posterior intrusion is assisted by upper and lower ...Fig. 21.19 Open bite solved with LITE treatment.Fig. 21.20 Initial extraoral and intraoral views.Fig. 21.21 Initial occlusal contact.Fig. 21.22 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 21.23 Initial upper and lower ClinCheck views.Fig. 21.24 Initial right and left ClinCheck views.Fig. 21.25 Interproximal reduction necessary for relative extrusion of upper...Fig. 21.26 Initial intraoral views (upper) and views before refinement (lowe...Fig. 21.27 Final intraoral views.Fig. 21.28 Initial (left) and final occlusal (right).Fig. 21.29 Initial and final smile.Fig. 21.30 Final panoramic and lateral X‐rays.Fig. 21.31 Initial intraoral view.Fig. 21.32 Initial extraoral and intraoral views.Fig. 21.33 Panoramic X‐ray.Fig. 21.34 Teleradiograph: proclination of upper and lower incisors, narrow ...Fig. 21.35 Initial upper and lower ClinCheck views.Fig. 21.36 Interproximal reduction to create relative extrusion of incisors....Fig. 21.37 Palatal attachments prevent upper incisors from intrusion during ...Fig. 21.38 Initial right and left intraoral ClinCheck views.Fig. 21.39 Triangular elastics in class II. The technician was required to e...Fig. 21.40 reciprocal movement of anterior extrusion and posterior intrusion...Fig. 21.41 Sequential distalization.Fig. 21.42 Initial (upper) and final (lower) views.Fig. 21.43 Initial (left) and final occlusal (right).Fig. 21.44 Initial and final smiles and overjet.Fig. 21.45 Final panoramic and lateral X‐rays.Fig. 21.46 Initial intraoral view.Fig. 21.47 Initial extraoral and intraoral views.Fig. 21.48 Goal of treatment: close open bite by upper and lower distalizati...Fig. 21.49 Initial panoramic X‐ray, teleradiograph and cephalometry.Fig. 21.50 Mechanics of simultaneous distalization from temporary anchorage ...Fig. 21.51 Temporary anchorage devices in left tuberosity failed. It was cha...Fig. 21.52 Mechanics with temporary anchorage device in the tuberosity.Fig. 21.53 Mechanics for upper and lower simultaneous distalization. Opening...Fig. 21.54 Simultaneous distalization of lower arch using temporary anchorag...Fig. 21.55 Initial views before refinement. Opening space for missing 13, up...Fig. 21.56 Final panoramic X‐ray, after placing the implant for