Class II, Crowding, Deepbite, Increased overjet, Midline Shift, Rotations

Expansion, Extrusion, Elastics: Class II, Mandibular Advancement

Treatment in the Spotlight

We would like to congratulate Dr. J. Brabant for submitting our 600th and the first Mandibular Advancement treatment to the Gallery!

Treatment Information

  • Age: 11
  • Gender: male
  • Invisalign Treatment Option: Teen

Diagnostic Summary

  • Mandibular Retrognathia

Use of:

  • Mandibular Advancement
  • Power Ridge Feature on Buccal 2.2 (UL2), Buccal 4.3 (LR3)
  • Optimized Rotation Attachment (G3) on Buccal 2.4 (UL4), Buccal 3.3 (LL3)
  • Optimized Extrusion Attachment (G3) on Buccal 2.3 (UL3)
  • Optimized Root Control Attachments (G4) on Buccal 1.3 (UR3), Buccal 4.3 (LR3)
  • Optimized DeepBite Attachments Activated for Premolar Extrusion (G5) on Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Precision wings on Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 4.6 (LR6), Buccal 3.6 (LL6)
Courtesy of Dr J. Brabant 2018

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left
Click to compare enlarged
upper
Progress
lower
right
front
left

Radiographs

ClinCheck Treatment Plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial
Additional Aligners

Treatment Summary

Results Archieved

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

Total treatment Time

  • 13 months

Number of aligners

  • Maxillary: 17 + 40 = 57
  • Mandibular: 17 + 40 = 57

Aligner wear time

  • 1-week

Comments

  • The first phase was completed using the Invisalign with Mandibular Advancement feature. An additional aligner order was utilised to close down the posterior open bite, distalise the lower left arch slightly and coordinate arches. A request for alignment, arch coordination and intercuspation of occlusion was made to the technician to seek final result.