{"id":4839,"date":"2024-05-07T08:37:50","date_gmt":"2024-05-07T08:37:50","guid":{"rendered":"https:\/\/ormcoeurope.com\/ro\/?p=4839"},"modified":"2025-05-09T10:07:49","modified_gmt":"2025-05-09T10:07:49","slug":"case-report-damon-ultima-unilateral-class-ii-treatment-with-damon-ultima-system-using-procline-and-retrocline-variable-torque-prescription","status":"publish","type":"post","link":"https:\/\/ormcoeurope.com\/ro\/case-report-damon-ultima-unilateral-class-ii-treatment-with-damon-ultima-system-using-procline-and-retrocline-variable-torque-prescription\/","title":{"rendered":"Unilateral Class II treatment with Damon Ultima\u2122 System using procline and retrocline variable torque prescription"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_section][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]<span class=\"text-dark-grey\">CASE REPORT<\/span><\/p>\n<h2><span class=\"text-secondary\">Unilateral Class II treatment with Damon Ultima<\/span><span class=\"text-secondary\">\u2122\u00a0<\/span><span class=\"text-secondary\">System using procline and retrocline variable torque prescription<\/span><\/h2>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][vc_column_text]This case report shows the successful use of torque teaming with Damon Ultima brackets in a class II patient.[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;]<div class=\"before-after\"><div class=\"ba-slider\" data-component=\"ba-slider\">\n                                <div class=\"slider\">\n                                    <label for=\"slider-range\" class=\"slider-label\">Move image comparison slider<\/label>\n                                    <input type=\"range\" min=\"0\" max=\"100\" value=\"50\" class=\"slider-range\" id=\"slider-range\" data-ba-range=\"\">\n                                    <div class=\"slide slide--overlay\" data-ba-overlay=\"\">\n                                         <figure class=\"slide-figure slide-figure--overlay\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"1460\" height=\"730\" src=\"https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-Before-web-1460x730.jpg\" class=\"attachment-before-after size-before-after\" alt=\"\" srcset=\"https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-Before-web-1460x730.jpg 1460w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-Before-web-300x150.jpg 300w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-Before-web-1024x513.jpg 1024w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-Before-web-768x385.jpg 768w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-Before-web-2048x1026.jpg 2048w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-Before-web-100x50.jpg 100w\" sizes=\"auto, (max-width: 1460px) 100vw, 1460px\" \/>\n                                            <figcaption class=\"slide-caption slide-caption--before\">\n                                                  <span>BEFORE<\/span>\n                                             <\/figcaption>\n                                         <\/figure>\n                                    <\/div>\n                                    <div class=\"slide-toggle\" data-ba-toggle=\"\">\n                                        <span class=\"slide-thumb\">\n                                           <svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"18\" height=\"10\"\n                                                viewBox=\"0 0 18 10\" fill=\"#fff\">\n                                              <path d=\"M12.121 4.703V.488c0-.302.384-.454.609-.24l4.42 4.214a.33.33 0 0 1 0 .481l-4.42 4.214c-.225.215-.609.063-.609-.24V4.703z\"><\/path>\n                                              <path d=\"M5.879 4.703V.488c0-.302-.384-.454-.609-.24L.85 4.462a.33.33 0 0 0 0 .481l4.42 4.214c.225.215.609.063.609-.24V4.703z\"><\/path>\n                                           <\/svg>\n                                        <\/span>\n                                    <\/div>\n                                    <div class=\"slide\">\n                                       <figure class=\"slide-figure\">\n                                            <img loading=\"lazy\" decoding=\"async\" width=\"1460\" height=\"730\" src=\"https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-After-web-1460x730.jpg\" class=\"attachment-before-after size-before-after\" alt=\"\" srcset=\"https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-After-web-1460x730.jpg 1460w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-After-web-300x150.jpg 300w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-After-web-1024x513.jpg 1024w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-After-web-768x385.jpg 768w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-After-web-2048x1026.jpg 2048w, https:\/\/ormcoeurope.com\/ro\/wp-content\/uploads\/sites\/31\/2024\/05\/1-Markel-After-web-100x50.jpg 100w\" sizes=\"auto, (max-width: 1460px) 100vw, 1460px\" \/>\n                                            <figcaption class=\"slide-caption slide-caption--after\">\n                                                <span>AFTER<\/span>\n                                            <\/figcaption>\n                                        <\/figure>\n                                    <\/div>\n                                <\/div>\n                           <\/div><\/div>[\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_widget_sidebar sidebar_id=&#8221;actualidad&#8221;][vc_btn title=&#8221;Go to case report gallery&#8221; style=&#8221;btn&#8221; color=&#8221;secondary&#8221; align=&#8221;left&#8221; i_icon_fontawesome=&#8221;fas fa-th&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; add_icon=&#8221;true&#8221; el_class=&#8221;full-width&#8221; link=&#8221;url:https%3A%2F%2Formcoeurope.com%2Fro%2Fcase-reports%2F|title:Case%20reports&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1713965562194{background-color: #0e1e4c !important;}&#8221; el_class=&#8221;wpb_text_column&#8211;white&#8221;][vc_row equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221;][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221; el_class=&#8221;wpb_text_column&#8211;white&#8221;]<\/p>\n<h3>Dr. Markel Telletxea Iraola*, Spain<\/h3>\n<p>Meet Dr. Markel Telletxea Iraola*, a skilled orthodontist who graduated as a dentist in 2018 and then subsequently completed a Master\u2019s in Orthodontics and Dentofacial Orthopedics in 2021, both at Alfonso X El Sabio University in Madrid, Spain. In 2021, he became an Associate professor of European Master of Orthodontics at his alma mater and an affiliate of the Spanish Orthodontic Society (SEDO). Since 2022, he has been practising orthodontics at his practice, LIDERA Hortz klinika \u2013 estudio dental, by Markel Telletxea in Lesaka, Navarre.[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4845&#8243; img_size=&#8221;full&#8221; style=&#8221;vc_box_circle&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_section][vc_row][vc_column][vc_column_text]<\/p>\n<h2><span class=\"text-secondary\">Diagnosis<\/span><\/h2>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<span class=\"text-secondary\">The 17-year-old female patient, who had previously undergone an orthodontic treatment 4 years ago, came to the dental clinic in May 2022. She was concerned about her upper right lateral incisor tipping, which was worsening over time, making her feel uncomfortable while smiling.<\/span><\/p>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727880541949{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4846&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727882498583{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4847&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727880568074{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4848&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][vc_column_text css=&#8221;&#8221;]<span class=\"text-secondary\">The extraoral examination revealed isometric contraction of the left side muscles, mild canted maxillary occlusal plane, facial and upper midlines centered and hypodivergent facial pattern.<\/span><\/p>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727880576795{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4850&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727880584466{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4851&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727880592387{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4852&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space][vc_column_text]<span class=\"text-secondary\">During intraoral examination the patient was found to have:<\/span><\/p>\n<ul>\n<li><span class=\"text-secondary\">Unilateral class II molar and canine relationship,<\/span><\/li>\n<li><span class=\"text-secondary\">Deviation of the lower midline 2 mm towards the left side,<\/span><\/li>\n<li><span class=\"text-secondary\">Dentoalveolar compression of both arches with mild crowding,<\/span><\/li>\n<li><span class=\"text-secondary\">Bolton discrepancy with upper maxillary excess,<\/span><\/li>\n<li><span class=\"text-secondary\">A deep bite tendency with increased curve of Spee,<\/span><\/li>\n<li><span class=\"text-secondary\">The upper right lateral incisor tipped.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row][vc_row equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4853&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][vc_empty_space height=&#8221;50px&#8221;][vc_column_text]<span class=\"text-secondary\">Cephalometric analysis confirmed skeletal class I with meso-brachycephalic growth pattern, reducedmandibular plane, normoclined upper incisor and slightly retroclined lower incisor, increased interincisalangle and a correct occlusal plane<\/span>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;4854&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][\/vc_section][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1728290717921{background-color: #f2f1ec !important;}&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h2><span class=\"text-secondary\">Treatment plan<\/span><\/h2>\n<p>[\/vc_column_text][vc_empty_space][vc_column_text css=&#8221;&#8221;]<\/p>\n<ul>\n<li><span class=\"text-secondary\">Transversal developing of the arches by uprighting posterior segments<\/span><\/li>\n<li><span class=\"text-secondary\">Coordination of the arches<\/span><\/li>\n<li><span class=\"text-secondary\">Class II correction mechanics<\/span><\/li>\n<li><span class=\"text-secondary\">Flatten Spee curve<\/span><\/li>\n<li><span class=\"text-secondary\">Smile arc protection &#8211; upper incisors follow lower lip line and transition to posterior occlusion.<\/span><\/li>\n<li><span class=\"text-secondary\">Correction of lower midline deviation with the upper and facial midlines (coincident).<\/span><\/li>\n<li><span class=\"text-secondary\">Functional and aesthetic improvement, adjust occlusion, finishing and retention.<\/span><\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221;][vc_column][vc_empty_space][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><span class=\"text-secondary\">Start of the treatment \u2013 May 2022<\/span><\/h3>\n<ul>\n<li>Upper arch: bond and fit .014 CuNiTi wire; procline U1s and U3s; neutral UL2 and retrocline UR2<\/li>\n<li>Lower arch: bond and fit .014 CuNiTi wire; retrocline L2-2 and procline L3s; turbos on L6s<\/li>\n<li>No elastics<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space][vc_single_image image=&#8221;4855&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1728290771263{background-color: #f2f1ec !important;}&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><span class=\"text-secondary\">16 Weeks in treatment (Last 6 weeks on 14X275 CuNiTi wire)<\/span><\/h3>\n<ul>\n<li>Upper arch: continue 14&#215;275 CuNiTi wire. Wire-tie U3-3 for space consolidation (nowadays Dr. Iraola would place Ultima hooks distal to U3s)<\/li>\n<li>Lower arch: continue 14&#215;275 CuNiTi wire. Space closure to the right side in favor of the lower midline centering and canine class I<\/li>\n<li>Class II elastics UR5-LR7 and UL4 and LL7 \u2013 Kangaroo (3\/16\u201d, 4.5 oz) full-time wear (24h)<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4857&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4858&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;4859&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221;][vc_column][vc_empty_space][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><span class=\"text-secondary\">5 Months and 3 weeks into treatment<\/span><\/h3>\n<p><strong><span class=\"text-secondary\">Pano reposition visit:<\/span><\/strong><\/p>\n<p><span class=\"text-secondary\">While 6 weeks with 18&#215;275 CuNiTi upper and lower archwire, a panoramic reposition visit wasplanned, and LL1 was replaced for second-order correction. The LL8 was extracted at this momentdue to patient\u00b4s discomfort as the others were planned to be extracted after bracket debonding.<\/span>[\/vc_column_text][vc_row_inner][vc_column_inner][vc_single_image image=&#8221;4860&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][vc_empty_space][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_column_text]<\/p>\n<ul>\n<li>Upper arch: Fit 18&#215;275 CuNiti; IPR U2-2 due to Bolton discrepancy<\/li>\n<li>Lower arch: Fit 18&#215;275 + Midline lace-back<\/li>\n<li>Class II elastics: UR5-LR7 Kangaroo (3\/16\u201d 4.5oz) and UL4-LL7 Impala (3\/16\u201d 6oz) full time wear (24h)<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727880655936{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4861&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727880663385{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4862&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727880670628{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4863&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1728290798051{background-color: #f2f1ec !important;}&#8221;][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><span class=\"text-secondary\">8 Months into treatment<\/span><\/h3>\n<ul>\n<li>Upper arch: Fit 19&#215;275 TMA, wire-tie UR3-UL2 and distal-out bend on UL3<\/li>\n<li>Lower arch: Fit 19&#215;275 SS; power-chain LL3-LL6<br \/>\n(close space distally to LR3 and center lower midline)<\/li>\n<li>Class II elastics UR5-LR7 and UL4-LL7 Impala (3\/16\u201d 6oz) night-time wear<\/li>\n<\/ul>\n<p>[\/vc_column_text][vc_empty_space][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727880678114{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4865&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727880686904{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4866&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1728287977313{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4867&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space][\/vc_column][\/vc_row][vc_row full_width=&#8221;stretch_row&#8221;][vc_column][vc_empty_space][vc_column_text css=&#8221;&#8221;]<\/p>\n<h3><span class=\"text-secondary\">Final records &#8211; March 2023<\/span><\/h3>\n<p>[\/vc_column_text][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727882525958{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4868&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727882518285{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4869&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727880695972{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4870&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727882568633{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4871&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727882578984{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4872&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727882591701{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4873&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727882613957{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4874&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727882606824{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4875&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243; css=&#8221;.vc_custom_1727882599610{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4876&#8243; img_size=&#8221;full&#8221; onclick=&#8221;link_image&#8221; css=&#8221;&#8221;][\/vc_column_inner][\/vc_row_inner][vc_empty_space][\/vc_column][\/vc_row][vc_section full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1728290822812{background-color: #f2f1ec !important;}&#8221;][vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<h2><span class=\"text-secondary\">Comparison and final conclusions<\/span><\/h2>\n<p><span class=\"text-secondary\">In view of the clinical and cephalometric data, nowadays, Dr. Iraola would rather use procline bracketsin lower incisions as well as in the UL2 for better vertical control of deep bite.<\/span><\/p>\n<p><span class=\"text-secondary\">In spite of the mesial movement of the lower arch for class II correction during the treatment, the lowerincisors did not show any secondary proinclination as it was supposed. Therefore, additional overdrivewire would be also an option for extra torque expression.<\/span>[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][\/vc_row][vc_row equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727883783628{padding-top: 1px !important;padding-right: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4869&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727883791685{padding-top: 1px !important;padding-right: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4868&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727883799312{padding-top: 1px !important;padding-right: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4870&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1728288989057{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4878&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1727883872831{padding-right: 1px !important;padding-left: 1px !important;}&#8221;][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1727940467807{padding: 1px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1727883058687{background-color: #065ca2 !important;}&#8221;]<\/p>\n<p style=\"text-align: center;\"><span class=\"text-white\">March 2023<\/span><\/p>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727883150406{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4847&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727940376118{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4846&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727940384894{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4848&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727940428307{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4880&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1727940507806{padding: 1px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1727883828442{padding-right: 1px !important;padding-left: 1px !important;background-color: #5f5d5d !important;}&#8221;]<\/p>\n<p style=\"text-align: center;\"><span class=\"text-white\">May 2023<\/span><\/p>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727883150406{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4871&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727940376118{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4872&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727940384894{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4873&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1728289054754{padding-top: 1px !important;padding-right: 1px !important;padding-bottom: 1px !important;padding-left: 1px !important;}&#8221;][vc_single_image image=&#8221;4881&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row equal_height=&#8221;yes&#8221;][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1728289176098{padding: 1px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1728289126874{padding-left: 1px !important;background-color: #065ca2 !important;}&#8221;]<\/p>\n<p style=\"text-align: center;\"><span class=\"text-white\">Final records &#8211; March 2023<\/span><\/p>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;50px&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][vc_row equal_height=&#8221;yes&#8221;][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727883150406{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4850&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727940376118{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4851&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727940384894{padding: 1px !important;}&#8221;][vc_single_image image=&#8221;4852&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221;][\/vc_column][vc_column width=&#8221;1\/4&#8243; css=&#8221;.vc_custom_1727940428307{padding: 1px !important;}&#8221;][\/vc_column][\/vc_row][vc_row equal_height=&#8221;yes&#8221;][vc_column width=&#8221;3\/4&#8243; css=&#8221;.vc_custom_1728289187792{padding: 1px !important;}&#8221;][vc_column_text css=&#8221;.vc_custom_1728289117199{padding-right: 1px !important;padding-left: 1px !important;background-color: #5f5d5d !important;}&#8221;]<\/p>\n<p style=\"text-align: center;\"><span class=\"text-white\">Initial records &#8211; May 2022<\/span><\/p>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/4&#8243;][\/vc_column][\/vc_row][\/vc_section][vc_row full_width=&#8221;stretch_row&#8221; css=&#8221;.vc_custom_1728291342254{background-color: #f2f1ec !important;}&#8221;][vc_column][vc_empty_space][vc_column_text css=&#8221;&#8221;]<span class=\"text-small\">MKT-23-1442-ENG<\/span><\/p>\n<p><span class=\"text-small\">* Dr. Markel Telletxea Iraola is a paid consultant for Ormco. The opinions expressed are those of Dr. Markel Telletxea Iraola. Ormco is a medical device manufacturer and does not dispense medical advice. Clinicians should use their own professional judgment intreating their patients.<\/span>[\/vc_column_text][vc_empty_space][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_section][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text css=&#8221;&#8221;]CASE REPORT Unilateral Class II treatment with Damon Ultima\u2122\u00a0System using procline and retrocline variable torque prescription [\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][vc_column_text]This case report shows the successful use of torque teaming with Damon Ultima brackets in a class II patient.[\/vc_column_text][vc_empty_space height=&#8221;40px&#8221;][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_widget_sidebar sidebar_id=&#8221;actualidad&#8221;][vc_btn title=&#8221;Go to case report gallery&#8221; style=&#8221;btn&#8221; color=&#8221;secondary&#8221; align=&#8221;left&#8221; i_icon_fontawesome=&#8221;fas fa-th&#8221; css=&#8221;&#8221; button_block=&#8221;true&#8221; add_icon=&#8221;true&#8221; el_class=&#8221;full-width&#8221; [&hellip;]<\/p>\n","protected":false},"author":45,"featured_media":4840,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[46,45],"tags":[],"class_list":["post-4839","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-class-ii","category-damon-ultima"],"acf":[],"_links":{"self":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts\/4839","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/users\/45"}],"replies":[{"embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/comments?post=4839"}],"version-history":[{"count":8,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts\/4839\/revisions"}],"predecessor-version":[{"id":4882,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/posts\/4839\/revisions\/4882"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/media\/4840"}],"wp:attachment":[{"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/media?parent=4839"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/categories?post=4839"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ormcoeurope.com\/ro\/wp-json\/wp\/v2\/tags?post=4839"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}