invis is innovative treatment for growing teens.
Now with enhanced precision wings.
Why Invisalign® with mandibular advancement?
Invisalign® treatment with mandibular advancement is a clinically proven1 method for Class ll correction in teen patients providing the ability to treat more complex teen cases.
Which patients are suited for the Invisalign® treatment with mandibular advancement?
Invisalign® treatment with mandibular advancement is meant for pre-teens and teens presenting with retrognathic Class II malocclusions in permanent dentition or stable late mixed dentition. The enhanced precision wings feature is integrated into the Invisalign® aligners.
How enhanced precision wings work
Featured video
See Dr. Eugene Kohlov of Toronto, Canada sharing his experience about Invisalign with mandibular advancement.
“I’m thrilled to see smiles on patient’s happy faces”
Dr. Eugene Kholov, Canada
Have a look at what our teen patients have to say about being treated with Invisalign with mandibular advancement.
Clinical protocol and best practices
Learn more about our clinical protocols and best practices under learn.invisalign.com or by contacting your local Invisalign representative.
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
Schedule appointment for:
• Attachment placement
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 II correction, 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 in
pre-MA, otherwise not needed
• If no pre-MA, attachment placement
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: 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
1. Data on file at Align™ Technology as of June 29, 2018. Based on n=40 from a multicenter NA IDE clinical study.
2. 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: “Invisalign® treatment with mandibular advancement is more comfortable for the patient than Class II functional appliances I’ve used in the past (Twin Block, Herbst etc.).” “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
3. Data on file at Align™ Technology, as of February 2017
4. Data on file at Align™ Technology, as of September 27, 2021.
5. Data on file at Align™ Technology, as of September 27, 2021
6. Based on analysis of software planned vertical overlap between upper and lower wings for 1,976 cases of Invisalign™ treatment with mandibular advancement precision wings produced between May 1, 2021 and June 30, 2021. Cases were prepared with both precision wings and enhanced precision wings with identical treatment staging and treatment. Data on file at Align™ Technology, as of September 27, 2021.
