Align Global Gallery

Invisalign Submission Option: Invisalign Comprehensive

Year: 2024	Difficulty Level: Advanced
Age: 14	Treatment Time: 1 year 7 months 19 days
Gender: Male

Dr. Jaime Andres Montoya Sierra

19694

Invisalign Comprehensive

Patient Chief Concern
"My chin looks very small"

What learning would you share with other Invisalign providers?
The Invisalign system is an excellent alternative for Class II patients with mandibular retrognathism. The proper protocol for using enhanced power wings, along with correct timing of the mandibular growth spurt, produces spectacular, very comfortable, and rapid results.

What contributed most to this treatment being successful?
The stimulation of mandibular growth achieved with Invisalign Enhanced Power Wings.

Clinical Indications

Asymmetric arches
Class II div 1
Crowding
Deep bite
Ectopic
Increased overjet
Narrow arches
Rotations

Adolescent patient with class II malocclusion due to mandibular retrognathism, deep bite, and ectopic upper canines.

Modalities

Elastics: Class II
Extrusion
Intrusion
IPR
Leveling Curve of Spee
Mandibular Advancement with Precision Wings
Pre Mandibular Advancement Phase
Retraction

Use of the mandibular advancement protocol. A pre-mandibular advancement phase to align and level the curve of Spee. Then, three steps in the mandibular advancement phase, followed by the finalization phase with additional aligners to refine the occlusion.

Treatment Information

Retainer: Vivera
Vivera retainers: 5 months, 24 hours a day, and then at night for life.

Smartforce: Conventional, Mandibular Advancement and Optimized

Submission Process: iTero Scanner Element/5D
The itero scanner is the perfect ally not only to achieve a perfect capture of the patient's teeth but also to help motivate treatment and clinically monitor it.

Length of Treatment: 20 months

Additional Aligners: 1

Number of Aligners:

	Initial	Additional	Total
Maxillary	55	15	70
Mandibular	55	15	70

Aligner Wear Time: 1 week

Images

Initial

Final

Progress

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

ClinCheck

Summary

Achieved improvement in the patient's profile, with evident mandibular growth and chin projection. Intraorally, proper overbite-overjet correction was achieved, completely resolving the deep bite through proper leveling of his curve of Spee. The ectopic canines were aligned, achieving bilateral Class I occlusion.