Class II div 2
,
Mandibuläre Retrognathie
,
Deep bite
,
Enge Zahnbögen
,
Asymmetrische Zahnbögen
,
Mandibuläre Mittellinien-Abweichung
,
Engstand
,
Rotationen

Mandibuläre Protrusion
,
Pre Mandibular advancement phase
,
Extrusion
,
Intrusion
,
Expansion
,
Retraktion
,
Elastics: Klasse II
Courtesy of Dr. T. Ortoneda, 2020
Award 2021 Peer Review Award
Before picture of treatment

Teen case of the month

Dr. T. Ortoneda

Doctors quote:” During the growth phase, teenagers are the perfect candidates for using Invisalign + ITMA (mandibular advancement), this enables us to perform the leveling, the intercuspation of the teeth and the adaptation of the bone base more easily. With these appliances, we reduce treatment time and improve the smile of the patient."

Dr. T. Ortoneda

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen with MA

Total Treatment Time

  • 24 monate

Anzahl der Aligner

  • Maxillary: 42 + 32 + 16 = 90
  • Mandibulary: 42 + 32 + 16 = 90

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normal overjet and overbite achieved
  • Tiefbiss verbessert
  • Overjet verbessert
  • Mittellinien symmetrisch
  • Richtige axiale Schneidezahninklination
  • Curve of Spee leveled
  • Zahnbögen begradigt und koordiniert
  • Alignment beider Zahnbögen durch De-Rotation
  • Zahnbogenform verbessert
  • Aesthetic smile linewas achieved
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • This treatment is a combination of expansion and mesial rotation of the 1.6 and 2.6
  • Mandibular advance with the use of the Precision Wings
  • Retrusion of the anterior front with the use of intermaxillary Elastic Class II

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Fortschritt

Click to compare enlarged
upper
lower
right
front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Röntgenbilder

Ausgangsposition Finale
Click to compare enlarged380
Click to compare enlarged374