Class II div 1
,
Posterior crossbite
,
Increased overjet
,
Mandibular retrognathia
,
Deep bite
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding
,
Rotations

Mandibular advancement
,
Distalization
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Elastics: Class II in Additional Aligners
Courtesy of Dr. J. Brabant, 2019
Before picture of treatment

Teen case of the month

Dr. J. Brabant

We would like to congratulate Dr. Brabant with the results of this great Mandibular Advancement case and the 900th case published to the Global Invisalign Gallery!

Dr. Quote: “Invisalign with Mandibular Advancement helps not only the AP correction but also alignment and transverse correction at the same time.” 

 

Dr. J. Brabant

Treatment Summary

Patient Information

  • Age: 14
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen with MA

Total Treatment Time

  • 20 months

Number of aligners

  • Maxillary: 32 + 46 + 12 = 90
  • Mandibulary: 32 + 46 + 12 = 90

Aligner Wear time

  • 1-week

Retention

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Results achieved

  • Class I relationship achieved
  • Posterior crossbite corrected
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile linewas achieved
  • All treatment goals were achieved case

Comments

  • Invisalign with mandibular advancement was used to perform a number of functions simultaneously
  • AP correction, expansion, alignment, levelling the Curve of Spee were significantly corrected with the first set of aligners
  • Additional aligners used for unilateral upper posterior distalization to correct to Class I molar and canine relationship and to correct midline deviation
  • Class II elastics aided this correction
  • Further levelling the Curve of Spee and posterior extrusion closed lateral open bites
  • Additional aligners without attachments and worn at night were used as retainers as well as fine-tuning the posteriors occlusion

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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