Classe II Div 2
,
Retrognatismo mandibular
,
Deep bite
,
Arcos estreitos
,
Arcadas asimétricas
,
Desviación de la línea media mandibular
,
Acavalamento
,
Rotações

Avanço mandibular

Pre Mandibular advancement phase

Extrusão

Intrusão

Expansão

Retração

Elásticos: Classe II

Courtesy of Dr. T. Ortoneda, 2020

Teen case of the month

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

Resumo do tratamento
Images
Radiografías
Clincheck treatment plan

Treatment Summary

Patient Information

Age: 12
Gender: female
Invisalign Treatment Option: Invisalign Teen with MA

Total Treatment Time

24 meses

Número de alinhadores

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

Aligner Wear time

1 semana

Retenção

Maxillary: Fixed/Bonded
Mandibular: Fixed/Bonded

Results achieved

Relação de Classe I obtida
Orientação canina funcional em ambos os lados
Normal overjet and overbite achieved
Mordida profunda melhorada
Trespasse horizontal melhorado
Linhas médias coincidentes
Inclinação axial adequada dos incisivos
Curve of Spee leveled
Arcos alinhados e coordenados
Alinhamento dos dois arcos através de derrotação
Forma de arco melhorada
Aesthetic smile linewas achieved
Todos os objetivos de tratamento foram casos alcançados
Os arcos harmônicos foram alcançados

Comentários

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

Progresso

InicialFinais

Radiografías

Inicial Finais

378

372

Plano de tratamento ClinCheck

Smartforce features

Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
Power ridge feature (G3) on Buccal 1.2 (UR2), Buccal 2.1 (UL1)
Optimized Multi-plane (G4) on Buccal 2.2 (UL2)
Optimized root control attachments (G4) on Buccal 4.3 (LR3), Buccal 3.3 (LL3)
Optimized deep bite attachments for anchorage (G5) on Buccal 4.4 (LR4)
Pressure areas (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
Precision wings (MA) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 1.7 (UR7), Lingual 1.4 (UR4), Lingual 1.5 (UR5), Lingual 1.6 (UR6), Lingual 1.7 (UR7), Buccal 2.5 (UL5), Buccal 2.6 (UL6), Buccal 2.7 (UL7), Lingual 2.5 (UL5), Lingual 2.6 (UL6), Lingual 2.7 (UL7), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Lingual 4.4 (LR4), Lingual 4.5 (LR5), Lingual 4.6 (LR6), Buccal 3.5 (LL5), Lingual 3.5 (LL5), Lingual 3.6 (LL6)

Classe II Div 2, Retrognatismo mandibular, Deep bite, Arcos estreitos, Arcadas asimétricas, Desviación de la línea media mandibular, Acavalamento, Rotações