Class II div 2
,
Retrognatismo mandibular
,
Deep bite
,
Arcadas estrechas
,
Arcadas asimétricas
,
Desviación mandibular de la línea media
,
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

Número de aligners

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

Aligner Wear time

  • 1 semana

Retencion

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

Results achieved

  • Consecución de una relación de Clase I
  • Guía canina funcional en ambos lados
  • Normal overjet and overbite achieved
  • Mordida profunda mejorada
  • Resalte mejorado
  • 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
  • Aesthetic smile linewas achieved
  • Todos los objetivos del tratamiento alcanzados
  • Se han conseguido arcadas armónicas

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

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

Progreso

Click to compare enlarged
upper
lower
right
front
left
InicialFinal
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

Radiografías

Inicial Final
Click to compare enlarged378
Click to compare enlarged372