Mandibular retrognathia
,
Class II div 2
,
Anterior crossbite
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations
,
Spacing
,
Diastema

Mandibular advancement
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
Space Closure
,
Elastics: Class II
Courtesy of Dr J. Brabant, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 16
  • Gender: female
  • Invisalign Treatment Option: Teen

Total Treatment Time

  • 12 months

Number of aligners

  • Maxillary: 26 + 20 = 46
  • Mandibulary: 26 + 20 = 46

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • Invisalign with Mandibular Advancement.
  • Despite the age of the patient a good skeletal change was achieved with the appliance.
  • ANB reduced from 4.4 to 1.6, Witts reduced from 2.4 to -1.7.
  • Mandibular Body Length (Go-Me) increased from 65.4 mm to 72.5 mm.
  • The locked in tooth 1.3 which was in cross bite was corrected in the Mandibular advancement stage as was the alignment generally.
  • Class 11 elastic were used to stabilize the mandibular advancement.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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

Initial Final
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