Clase II, div. 2
,
Retrognatia mandibular
,
Deep bite
,
Arcadas estrechas
,
Arcos assimétricos
,
Desvio da linha média mandibular
,
Apiñamiento
,
Rotaciones

Avance mandibular
,
Elásticos: Clase II
,
Pre Mandibular Advancement Phase
,
Extrusión
,
Intrusión
,
Expansión
,
Retracción
Courtesy of Dr. T. Ortoneda, 2020
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 Treatment Option: Invisalign Teen with MA

Total Treatment Time

  • 24 meses

Cantidad de alineadores

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

Aligner Wear time

  • 1 semana

Retencion

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

Results achieved

  • Relación clase I conseguida
  • Guía funcional de caninos en ambos lados
  • Normal overjet and overbite achieved
  •  Mordida profunda mejorada
  •  Resalte mejorado
  • Coincidencia de líneas medias
  • Inclinación axial correcta de incisivos
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Alineación de ambas arcadas a través de desrrotación
  • Forma de la arcada mejorada
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento se lograron en el caso
  • Se lograron arcadas armoniosas

Comentarios

  • 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

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Progreso

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InicialFinales
Before picture of treatment
After picture of treatment
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Radiografías

Inicial Finales
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