invis is innovative treatment for growing teens.

Introducing Invisalign® Mandibular Advancement with Enhanced Precision Wings

A more durable3 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

Record submission

Intraoral photos with additional photos for MA

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

Schedule appointment for:
•  Attachment placement 

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

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

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

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

“One of the best things about Invisalign is the minimal impact it has on your patients’ lives.” 

Dr. Sandra Tai
Vancouver, BC

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: “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.).” 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 June 29, 2018, based on n=40 from a multicenter NA Investigational Device Exemption (IDE) clinical study.

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