invis is innovative treatment for growing teens.

Introducing Invisalign® Mandibular Advancement with Enhanced Precision Wings

A more durable and patient-friendly way to treat Class II malocclusions.

Invisalign treatment with mandibular advancement is meant for tweens and teens presenting with retrognathic Class II malocclusions in permanent dentition or stable late mixed dentition. The special feature of enhanced precision wings for Invisalign treatment with mandibular advancement are integrated into the Invisalign aligners.

Building upon years of experience treating and analyzing Class II malocclusions, we have added even more innovation to the design with new enhanced precision wings for Invisalign treatment with mandibular advancement.

The benefits of Invisalign treatment with Mandibular Advancement with Enhanced Precision Wings.

Clinical protocol and best practices

1
Record submission

Intraoral photos with additional photos for mandibular advancement (MA)

2
Pre-mandibular advancement (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

Schedule appointment for:
•  Attachment placement 

3
Mandibular advancement (MA) phase

Purpose: Prioritize 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

Schedule appointment for:
•  Patient education
•  Remove any attachments if used inpre-MA, otherwise not needed
•  If no pre-MA, attachment placement

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: Finalize 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 leveling the curve of Spee
• Dentally correct any remaining Class II malocclusion
• Coordinate and detail the arches

Schedule appointment for:
• Attachment placement

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

Featured case studies

Dr. Guilherme Thiesen shows how to successfully use Invisalign treatment with Mandibular Advancement with Enhanced Precision Wings in treating Class II division 1 in late mixed dentition cases. 

Featured case studies

Dr. Scott Frey will show how he successfully uses two approaches to correct Class II cases in teenage patients, which are Herbst appliance and Invisalign treatment with Mandibular Advancement with Enhanced Precision Wings.

Featured case studies

Dr. Eugene Kholov shares clinical outcomes on Class II patients who were treated with Invisalign clear aligners with mandibular advancement and enhanced precision wings and shows how the enhancements to the precision wings help achieve sagittal correction outcomes.

Featured case studies

Dr. Guilherme Thiesen shows how to successfully use Invisalign treatment with Mandibular Advancement with Enhanced Precision Wings in treating Class II division 1 in late mixed dentition cases. 

Featured case studies

Dr. Scott Frey will show how he successfully uses two approaches to correct Class II cases in teenage patients, which are Herbst appliance and Invisalign treatment with Mandibular Advancement with Enhanced Precision Wings.

Learn more about Invisalign treatment with Mandibular Advancement with Enhanced Precision Wings

1 Based on the global survey in December 2020 to March 2021 in NA, EMEA and APAC regions which included the following countries: USA, Canada, France, Italy, Spain, Brazil, Australia, China, Japan, 209 Invisalign orthodontists responded to the question: “Please indicate your agreement with the following statement: “My patients are more satisfied with Invisalign treatment with mandibular advancement when compared to my patients treated with traditional Class II orthodontic appliances (e.g. Twin Block, Herbst etc.).” Agreement scale is 1-4 with 1 being “strongly disagree” and 4 being “strongly agree”. Data on file at Align Technology, as of April 20, 2021

2 Data on file at Align Technology, as of February 2017

3 Data on file at Align Technology, as of September 27, 2021

4 Based on interim visit data from a multi-site clinical study (n=17 patients) of Invisalign treatment with MA enhanced precision wings. The clinical study participating orthodontists in the USA and Canada were asked for each patient within the first 10 weeks of treatment in 2021, "Do the aligners remain seated and the enhanced precision wings properly engage?”. Data on file at Align Technology, as of September 27, 2021

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