Class II div 1
,
Increased overjet
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding

Mandibular advancement
,
Pre Mandibular Advancement Phase
,
Leveling curve of Spee
,
Expansion
,
Retraction
,
IPR

Treatment information

  • Age: 13
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen with MA

Diagnostic Summary

  • Class II div 1
  • Increased overjet
  • Mandibular retrognathia
  • Deepbite
  • Narrow arches
  • Mandibular midline deviation
  • Midline shift
  • Crowding

Use of:

  • Expansion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Pre Mandibular Advancement Phase
  • Mandibular advancement
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 2.3 (UL3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.4 (UR4), Buccal 2.4 (UL4), Buccal 3.5 (LL5)
  • Precision wings brackets (MA) on Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Buccal 3.5 (LL5), Buccal 3.6 (LL6)
Courtesy of Dr M. Revenaz 2019

Photos

Click to compare enlarged
upper
Initial
lower
right
front
left
Click to compare enlarged
upper
Final of MA Phase
lower
right
front
left

Radiographs

ClinCheck treatment plan

video anterior
video right-left
video upper-lower
Download ADF files
Initial

Treatment summary

Results Achieved

  • Class I relationship achieved
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Curve of Spee leveled
  • Arch form improved
  • Aesthetic smile line was achieved

Total treatment Time

  • 16 months

Number of aligners

  • Maxillary: 60
  • Mandibular: 60

Aligner wear time

  • 1-week

Comments

  • This Mandibular advancement case achieved significant improvement of skeletal and dental malocclusion in the growing patient
  • At present the patient still presents hypotonia of the perioral muscles and will need rehabilitative therapy for tongue parafunction habits and perioral muscles will delete tongue interposition in the posterior areas.