Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Narrow arches

Mandibular advancement
,
Pre Mandibular advancement phase
,
Expansion
,
Retraction
,
Elastics: Class II
,
Elastics: Class II in Additional Aligners
Courtesy of Dr M. Wen, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen with MA

Total Treatment Time

  • 17 months

Number of aligners

  • Maxillary: 41 + 14 + 11 = 66
  • Mandibulary: 41 + 14 + 11 = 66

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal¬† overjet and overbite achieved
  • Significant improvement of¬†overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Curve of Spee leveled

Comments

  • Invisalign was used to expand both arches first(Pre-MA phase), and then the MA appliance was used for the mandible advancement.
  • The upper canine erupted during this time and the eruption guide within the aligners helped provide control.
  • After 2 refinements, we completed the premolars part, and corrected the midline by class II elastic traction and upper anterior teeth with minimal IPR(about 0.2-0.3mm) . Then, we placed Hawley retainers and clear retainers on both arches for maintaining.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

Progress

Click to compare enlarged
upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

Radiographs

Initial Final
Click to compare enlarged316
Click to compare enlarged310