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

Mandibular advancement
,
Distalization
,
Leveling curve of Spee
,
Expansion
,
Elastics: Class II in Additional Aligners
Courtesy of Dr L. De la Torre, 2019
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 17 months

Number of aligners

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

Aligner Wear time

  • 1-week

Results achieved

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

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

Images

Initial and final

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Progress

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InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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