Class II div 1
,
Deepbite
,
Crowding

Mandibular advancement
,
Elastics: Class II
,
Leveling curve of Spee
,
Intrusion
,
Expansion

Treatment in the Spotlight

We would like to thank Dr. Glaser for this great MA case!

Dr. quote: “This is one of the first patients in the North American clinical trial to be treated with Invisalign Treatment with Mandibular Advancement.  I am grateful for her participation in the study so that doctors and patients worldwide may benefit from the lessons learned in her case".

Treatment information

  • Age: 12
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen

Diagnostic Summary

  • Mandibular advancement
  • Class II div 1
  • Deepbite
  • Crowding

Use of:

  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.4 (UL4)
  • Optimized extrusion attachment (G3) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.3 (UL3)
  • Precision wings brackets (MA)
Courtesy of Dr B. Glaser 2019

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

Treatment summary

Results Achieved

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

Total treatment Time

  • 26 months

Number of aligners

  • Maxillary: 30 + 20 + 13 = 63
  • Mandibular: 30 + 20 + 13 = 63

Aligner wear time

  • 1-week

Comments

  • Invisalign treatment with MA
  • 30 Stages in both arches for the MA phase with weekly aligner changes
  • After the MA phase, standard Invisalign treatment with CL II elastics in two refinements to finish and detail the final occlusion