Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deepbite
,
Posterior crossbite
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding
,
Rotations

Mandibular advancement
,
Elastics: Class II in Additional Aligners
,
Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion

Teen case of the month

Dr. J. Brabant
Dr. J. Brabant

We would like to congratulate Dr. Brabant with the results of this great Mandibular Advancement case and the 900th case published to the Global Invisalign Gallery!

Dr. Quote: “Invisalign with Mandibular Advancement helps not only the AP correction but also alignment and transverse correction at the same time.” 

 

치료 정보

  • 연령: 14
  • 성: 남성
  • Invisalign 치료 옵션: Invisalign Teen with MA

진단 요약

  • Class II div 1
  • Increased overjet
  • Mandibular retrognathia
  • Deepbite
  • Posterior crossbite
  • Asymmetric arches
  • Maxillary midline deviation
  • Mandibular midline deviation
  • Crowding
  • Rotations

사용

  • Mandibular advancement
  • Distalization
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Class II Elastics in Additional Aligners
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Power ridge feature (G3) on Buccal 2.1 (UL1)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 1.3 (UR3), Buccal 2.4 (UL4), Buccal 4.4 (LR4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 3.4 (LL4)
  • Optimized support attachment on upper laterals (G7) on Buccal 1.2 (UR2)
  • Precision wings brackets (MA) on Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
Courtesy of Dr. J. Brabant 2019

사진들

Click to compare enlarged
upper
치료 전 초기
lower
right
front
left
Click to compare enlarged
upper
최종
lower
right
front
left
Click to compare enlarged
upper
진행
lower
right
front
left

방사선 사진

ClinCheck 치료 계획

video anterior
video right-left
video upper-lower

치료 요약

성취된 결과

  • Class I relationship achieved
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case

총 치료 개월수

  • 20 개월

Number of aligners

  • Maxillary: 32 + 46 + 12 = 90
  • Mandibular: 32 + 46 + 12 = 90

얼라이너 착용 시간

  • 1주

코멘트

  • Invisalign with mandibular advancement was used to perform a number of functions simultaneously
  • AP correction, expansion, alignment, levelling the Curve of Spee were significantly corrected with the first set of aligners
  • Additional aligners used for unilateral upper posterior distalization to correct to Class I molar and canine relationship and to correct midline deviation
  • Class II elastics aided this correction
  • Further levelling the Curve of Spee and posterior extrusion closed lateral open bites
  • Additional aligners without attachments and worn at night were used as retainers as well as fine-tuning the posteriors occlusion

보유

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner