Classe II Div 1
,
Aumento do trespasse horizontal
,
Retrognatismo mandibular
,
Mordida profunda
,
Mordida cruzada posterior
,
Arcadas asimétricas
,
Desviación de la línea media maxilar
,
Desviación de la línea media mandibular
,
Acavalamento
,
Rotações

Avanço mandibular
,
Elastics: Class II in Additional Aligners
,
Distalização
,
Leveling curve of Spee
,
Intrusão
,
Expansão

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.” 

 

Informações do tratamento

  • Idade: 14
  • Sexo: masculino
  • Opção de tratamento Invisalign: Invisalign Teen with MA

Resumen del diagnóstico

  • Classe II Div 1
  • Aumento do trespasse horizontal
  • Retrognatismo mandibular
  • Mordida profunda
  • Mordida cruzada posterior
  • Arcadas asimétricas
  • Desviación de la línea media maxilar
  • Desviación de la línea media mandibular
  • Acavalamento
  • Rotações

Uso de

  • Avanço mandibular
  • Distalização
  • Expansão
  • Intrusão
  •  Nivelación de la curva de 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

Fotos

Click to compare enlarged
upper
Inicial
lower
right
front
left
Click to compare enlarged
upper
Finais
lower
right
front
left
Click to compare enlarged
upper
Progresso
lower
right
front
left

Radiografías

Plano de tratamento ClinCheck

video anterior
video right-left
video upper-lower

Resumo do tratamento

Resultados obtidos

  • Relação de Classe I obtida
  • Mordida cruzada posterior corrigida
  • Trespasse horizontal normal e sobremordida obtida
  • Melhoria significativa da sobremordida
  • Melhoria significativa do trespasse horizontal
  • Linhas médias coincidentes
  • Inclinação axial adequada dos incisivos
  • Curve of Spee leveled
  • Arcos alinhados e coordenados
  • Forma de arco melhorada
  • A linha de sorriso estético foi alcançada 
  • Todos os objetivos de tratamento foram casos alcançados

Tempo total de tratamento

  • 20 meses

Número de alinhadores

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

Tempo de uso do alinhador

  • 1 semana

Comentários

  • 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

Retenção

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner