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
Award 2021 Peer Review Award
Before picture of treatment

Teen case of the month

Dr. T. Ortoneda

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

Images

Initial and final

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front
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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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