Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Rotations

Mandibular advancement
,
Distalization
,
Extrusion
,
Intrusion
,
Expansion
,
Phase I treatment / Interceptive
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr Y. Nien Shan, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 10
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen with MA

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 35 + 29 + 10 = 74
  • Mandibulary: 35 + 29 + 10 = 74

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
  • Significant improvement of overjet
  • Midlines coincident
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case

Comments

  • This patient started MA treatment when she was in her growth peak (CS 3 stage) and we got a good improvement for her mandibular advancement.
  • From the cephalometric analysis, the change in ANB angle is from 7.8 ° to 2.2 ° and 4 mm longer in Co-Gn length.
  • During the MA phase, we dealt with some difficulties of baby teeth falling off.
  • In the additional aligner phase, we used deviation and vertical elastic to improve midline and occlusion.

Images

Initial and final

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lower
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front
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front
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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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