invis is two treatments in one.

Invisalign treatment with Mandibular Advancement.

For the experienced Invisalign doctor:

A treatment for the more complex cases.

Invisalign treatment with mandibular advancement gives you a clear aligner alternative for your more complex Class II treatments.

Clinical protocol and best practices

1
Record submission

Intraoral photos with additional photos for MA

2
Pre-MA phase (optional)

Purpose: Allow wing placement or to allow the first advancement to take place

Clinical treatment: Pre-MA will be automatically done in the following situations for successful precision wings placement
•  >7 mm deep bite
•  >20 degree molar rotation
•  Class II Div 2 incisors first advancement, get to 2 mm overjet
•  Cross bite correction to obtain between -2 mm to 4 mm of posterior overjet
•  Or tooth movement per doctors’ instructions
•  Limited Clinical Preferences
•  Custom staging is not allowed so as to place precision wings as quickly as possible

3
MA phase

Purpose: Prioritise the advancement of the mandible while allowing simultaneous tooth movement, which may be limited for teeth covered by precision wings

Clinical treatment: Class IIcorrection, arch coordination, overjet reduction, teeth alignmentand leveling
•  Precision wings to correct doctors specification of AP correction
•  Limited features underprecision wings
•  Limited Clinical Preferences
•  No custom staging

4
Transitional phase

Purpose: Hold the mandible in advanced position while waiting for standard Invisalign aligners or Additional Aligners to be delivered

Clinical treatment:
• Scan before you deliver transitional aligners
• No additional tooth movement
• Four stages of transitional aligners retain jaw at the corrected position

5
Standard Invisalign Treatment (additional aligners)

Purpose: Finalise occlusion

Clinical treatment: New records are submitted as standard Invisalign treatment through Additional Aligner orders
• Clinical Preferences followed except delay of attachments (per regular Invisalign treatment)
• Finish levelling the curve of Spee
• Dentally correct any remaining Class II malocclusion
• Coordinate and detail the arches

6
Retention
Retention protocol to retain in Class I position to prevent relapse (e.g. Vivera retainers)

Featured Case Study

See how Dr. Bart Iwasiuk of Toronto, Canada successfully used Invisalign treatment with mandibular advancement to treat a juvenile male with a constricted upper arch with blocked-out upper canines. 

Class II Orthodontic treatment using Invisalign treatment with mandibular advancement

Loading...