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
Intraoral photos with additional photos for MA
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
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
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
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
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