Mandibular retrognathia
,
Class II div 1
,
Increased overjet
,
Deep bite
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

Mandibular advancement
,
Pre Mandibular advancement phase
,
Leveling Curve of Spee
,
Expansion
,
Proclination
Courtesy of Dr M. Revenaz, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 11
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen with MA

Total Treatment Time

  • 18 months

Number of aligners

  • Maxillary: 35 + 28 = 63
  • Mandibulary: 35 + 28 = 63

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 of overjet
  • Midlines coincident
  • Curve of Spee leveled
  • Arch form improved
  • Aesthetic smile linewas achieved

Comments

  • Correcting scissor bite and leveling the curve of Spee were important in treating this class II case with deep bite
  • Asymmetric MA precision wings have been very useful in correcting the mandibular asymmetry

Images

Initial and final

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upper
lower
right
front
left
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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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