Class II div 2
,
Mandibular retrognathia
,
Deep bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Crowding
,
Rotations

Mandibular advancement
,
Pre Mandibular Advancement Phase
,
Expansion
,
Proclination
,
IPR
Courtesy of Dr M. Garcia Escribano Perez, 2019
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 22 months

Number of aligners

  • Maxillary: 40 + 18 + 24 = 82
  • Mandibulary: 40 + 18 + 24 = 82

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • Harmonic arches were achieved

Comments

  • The first phase was completed using the Invisalign with Mandibular Advancement feature
  • Two additional aligner orderes were utilized to close down the posterior open bite, virtual jump with elastics and to coordinate arches
  • A request for alignment, arch coordination and intercuspation of occlusion was made to the technician to seek final result.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progress

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lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial Final
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