Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding

Mandibular advancement
,
Leveling curve of Spee
,
Intrusion
,
Expansion
Courtesy of Dr X. LIU, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen with MA

Total Treatment Time

  • 15 months

Number of aligners

  • Maxillary: 64
  • Mandibulary: 64

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • 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
  • Harmonic arches were achieved

Comments

1.Precision wings(MA) is a useful tool to correct Class II relationship on teenager.
2.This growing patient shows significant skeletal and dental correction since Mandibular Advance be used.
3.Arch expansion is so important for Mandibular Advance cases especially on upper arch.
4.Appropriate treatment plan will get good results without MCC or Refinement.

Images

Initial and final

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upper
lower
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front
left
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lower
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front
left

Progress

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lower
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front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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