Class II div 2
,
Mandibular retrognathia
,
Narrow arches
,
Asymmetric arches
,
Crowding

Mandibular advancement
,
Distalization
,
Mesialization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR

スポットラ イト内の症例

Dr. J. L. Lagunilla Ruiz
Dr. J. L. Lagunilla Ruiz

We would like to congratulate Dr. Lagunilla Ruiz with winning the Scientific Symposium 2019 Peer review awards!

Dr. Quote: “I wanted to show with this treatment that a class II case which many classical orthodontists would have solved with extractions of 1.4 and 2.4, can be solved using Invisalign, performing the  alignment and the mandibular advancement simultaneously, in a short period of time and without the need for extractions, with a good treatment planning and thanks to patient's collaboration”.

 

치료 정보

  • 연령: 13
  • 성: 여자
  • Invisalign 치료 옵션: Invisalign Teen with MA

진단 요약

  • Class II div 2
  • Mandibular retrognathia
  • Narrow arches
  • Asymmetric arches
  • Crowding

사용

  • Distalization
  • Mesialization
  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Mandibular advancement
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Lingual 3.4 (LL4), Lingual 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Precision wings (MA)
Courtesy of Dr. J. L. Lagunilla Ruiz 2019

사진들

Click to compare enlarged
upper
치료 전 초기
lower
right
front
left
Click to compare enlarged
upper
최종
lower
right
front
left

방사선 사진

ClinCheck 치료 계획

video anterior
video right-left
video upper-lower

치료 요약

성취된 결과

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

총 치료 개월수

  • 17 개월

Number of aligners

  • Maxillary: 46 + 16 + 15 = 77
  • Mandibular: 46 + 13 + 9 = 68

얼라이너 착용 시간

  • 1주

코멘트

  • Our plan was to expand the arches this helped to solve the crowding and created space to align the teeth and extrude the 1.3 and the 2.3
  • All treatment goals were achieved