Class II div 2, Mandibular retrognathia, Deep bite, Narrow arches, Asymmetric arches, Mandibular midline deviation, Crowding, Rotations
Mandibular advancement
, Pre Mandibular advancement phase
, Extrusion
, Intrusion
, Expansion
, Retraction
, Elastics: Class II
Courtesy of Dr. T. Ortoneda,
2020
2021 Peer Review Award
Teen case of the month
Doctors quote:” During the growth phase, teenagers are the perfect candidates for using Invisalign + ITMA (mandibular advancement), this enables us to perform the leveling, the intercuspation of the teeth and the adaptation of the bone base more easily. With these appliances, we reduce treatment time and improve the smile of the patient."
Dr. T. Ortoneda
Treatment Summary
Patient Information
- Age: 12
- Gender: female
- Invisalign Submission Option: Invisalign Teen with MA
Total Treatment Time
- 24 months
Number of aligners
- Maxillary: 42 + 32 + 16 = 90
- Mandibulary: 42 + 32 + 16 = 90
Aligner Wear time
- 1-week
Retention
- Maxillary: Fixed/Bonded
- Mandibular: Fixed/Bonded
Results achieved
- Class I relationship achieved
- Functional canine guidance on both sides
- Normal overjet and overbite achieved
- Deepbite improved
- Overjet improved
- Midlines coincident
- Proper axial inclination of incisors
- Curve of Spee leveled
- Arches aligned and coordinated
- Alignment of both arches through derotation
- Arch form improved
- Aesthetic smile linewas achieved
- All treatment goals were achieved case
- Harmonic arches were achieved
Comments
- This treatment is a combination of expansion and mesial rotation of the 1.6 and 2.6
- Mandibular advance with the use of the Precision Wings
- Retrusion of the anterior front with the use of intermaxillary Elastic Class II
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