Mandibuläre Retrognathie
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Class II div 2

Mandibuläre Protrusion
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Pre Mandibular advancement phase
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 Nivellierung der Spee-Kurve
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Expansion
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Proklination
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Restaurativ
Courtesy of Dr. K. M. Muñoz, 2020
Before picture of treatment

Teen case of the month

Dr. K. M. Muñoz

We would like to congratulate Dr. Muñoz on this Mandibular advancement case with excellent results and also the 1000th case publication in the Global Invisalign gallery!

Doctor quote: "The science and technology of Invisalign® ITMA offers a device to treat growing class II patients and enables us to simultaneously perform alignment, leveling, and mandibular advancement movements. Teenagers are able to recognize the benefits of aesthetics and comfort that this technique offers and feel highly motivated and committed to the treatment without altering their social life."

Dr. K. M. Muñoz

Treatment Summary

Patient Information

  • Age: 13
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen with MA

Total Treatment Time

  • 15 monate

Anzahl der Aligner

  • Maxillary: 44
  • Mandibulary: 44

Aligner Wear time

  • Every 10 days

Retention

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Results achieved

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

Bemerkungen

  • Mandibular pre-advance phase: expansion of the arches to allow mandibular advancement
  • Flattening of the Spee curve (from 0 to 14 aligners).
  • Mandibular advance phase: first 2.2mm jump in aligner 15, second 2mm jaw jump in aligner number 23
  • Transition phase: aligner number 40 to 44.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
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front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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