Class II div 2
,
Mordida cruzada posterior
,
Resalte aumentado
,
Retrognatismo mandibular
,
Deep bite
,
Arcadas estrechas
,
Arcadas asimétricas
,
Desviación mandibular de la línea media
,
Desplazamiento de la línea media
,
Apiñamiento
,
Rotaciones
,
Espaciado

Avance mandibular
,
Pre Mandibular advancement phase
,
 Nivelado de la curva de Spee
,
Intrusión
,
Expansión
,
Retracción
,
Proinclinación
,
Elásticos: Vertical
Courtesy of Dr M. Agustina De Nicolas, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 14 meses

Número de aligners

  • Maxillary: 61 + 16 = 77
  • Mandibulary: 61 + 16 = 77

Aligner Wear time

  • 1 semana

Retencion

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Mordida cruzada posterior corregida
  • Resalte normal y sobremordida conseguida
  • Mordida profunda mejorada
  • Resalte mejorado
  • Mejora considerable de la sobremordida
  • Mejora significativa del resalte
  • Coincidente con líneas medias
  • Inclinación axial adecuada de los incisivos
  • Curve of Spee leveled
  • Arcadas alineadas y coordinadas
  • Alineación de dos arcadas mediante desrotación
  • Forma de la arcada mejorada
  • Consecución de una línea de la sonrisa estética  
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

Comentarios

  • Our patient was just in CS3 vertebral maturation, so we started our case with a pre-MA phase (21 aligners) to level the curve of spee, expand, and de-rotate.
  • Afterwards we did 4 MA phases, 3 of 2MM and 1 of 1.3MM, because I really prefer not to do several movements during MA.
  • We are very happy because we achieved all our goals. Invisalign teen with MA is innovative treatment for growing patient and in my option the best way to treat Class II malocclusions with mandibular retrognathia. It's very comfortable and patient friendly.

Images

Initial and final

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Progreso

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After picture of treatment
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Radiografías

Inicial Final
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