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

Mandibular advancement
,
Distalization
,
Mesialization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR
Courtesy of Dr. J. L. Lagunilla Ruiz, 2019
Before picture of treatment

Treatment in the Spotlight

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”.

 

Dr. J. L. Lagunilla Ruiz

Treatment Summary

Patient Information

  • Age: 13
  • Gender: female
  • Invisalign Treatment Option: Invisalign Teen with MA

Total Treatment Time

  • 17 months

Number of aligners

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

Aligner Wear time

  • 1-week

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Normal overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement ofoverbite
  • 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 linewas achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

Comments

  • 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

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left
InitialFinal
Before picture of treatment
After picture of treatment
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Radiographs

Initial
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