Align Global Gallery

Invisalign Submission Option: Invisalign Comprehensive MAOB

Year: 2025	Difficulty Level: Advanced
Age: 12	Treatment Time: 1 year 27 days
Gender: Female

Prof. Paola Cozza

19909

Invisalign Comprehensive MAOB

Patient Chief Concern
Upper incisors protrusion

What learning would you share with other Invisalign providers?
In MAOB therapy, three key treatment phases are required Mandibular advancement and stabilization Guidance of eruption of the posterior and lateral teeth Control of maxillary and mandibular incisor inclination

What contributed most to this treatment being successful?
good compliance

Clinical Indications

Class II div 1
Increased overjet
Narrow arches

Class II malocclusion associated with mandibular retrusion and a short mandibular ramus.

Modalities

Mandibular Advancement Occlusal Blocks

In the post MA phase, triangular elastics were planned, together with 1.0 mm of maxillary molar extrusion and 0.7 mm of mandibular molar extrusion, to facilitate posterior settling and optimize occlusal contacts.

Treatment Information

Retainer: None

Smartforce: Optimized

Submission Process: iTero Scanner Lumina
simple, clear, and intuitive

Length of Treatment: 13 months

Additional Aligners: 2

Number of Aligners:

	Initial	Additional	Total
Maxillary	34	20	54
Mandibular	34	29	63

Aligner Wear Time: 7-day aligner change protocol.

Images

Initial

Final

Progress

Post

Radiographs

Initial Panorama

Final Panorama

Initial Lateral

Final Lateral

ClinCheck

Summary

Class II correction was achieved over an 11-month treatment period through the following sequence: 5 months of mandibular advancement, followed by 2 months of stabilization and 4 months of occlusal settling with triangular elastics to maintain the achieved mandibular advancement and promote counterclockwise mandibular rotation.