Mandibular retrognathia
,
Class II div 1
,
Increased overjet
,
Midline shift
,
Crowding

Mandibular advancement
,
Elastics: Class II in Additional Aligners
,
Distalization
,
Leveling curve of Spee
,
Expansion

Treatment information

  • Age: 17
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen with MA

Diagnostic Summary

  • Class II div 1
  • Increased overjet
  • Mandibular retrognathia
  • Midline shift
  • Crowding

Use of:

  • Distalization
  • Expansion
  • Leveling Curve of Spee
  • Class II Elastics in Additional Aligners
  • Mandibular advancement
  • Optimized rotation attachment (G3) on Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Power ridge feature (G3) on Buccal 2.1 (UL1)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 3.4 (LL4)
  • Precision wings brackets (MA) on Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
Courtesy of Dr L. De la Torre 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
Download ADF files
Initial
Additional Aligners

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • NormalĀ  overjet and overbite achieved
  • Overjet improved
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • All treatment goals were achieved case

Total treatment Time

  • 17 months

Number of aligners

  • Maxillary: 36 + 34 = 70
  • Mandibular: 36 + 13 = 49

Aligner wear time

  • 1-week

Comments

  • In this case I decided to start with MA in phase I to improve all that we can
  • After Phase I with MA we did a second step with distalization of left maxillar sid, with the support of elastics class II
  • Midline was not corrected because the patient was very satisfied with the end result