Klasse I
,
Tiefbiss
,
Enge Zahnbögen
,
Engstand
,
Rotationen

Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proklination

Behandlungsinformationen

  • Alter: 13
  • Geschlecht: männlich
  • Invisalign Behandlungsoption: Invisalign Teen

Zusammenfassung der Diagnose

  • Klasse I
  • Tiefbiss
  • Enge Zahnbögen
  • Engstand
  • Rotationen

Use of:

  • Expansion
  • Extrusion
  • Intrusion
  •  Nivellierung der Spee-Kurve
  • Proklination
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 3.4 (LL4)
  • Optimized deepbite attachments activated for premolar extrusion (G5) on Buccal 1.5 (UR5), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.4 (UL4)
  • Optimized support attachment (G7) on Buccal 1.2 (UR2)
Courtesy of Dr M. Pedernera 2019

Fotos

Click to compare enlarged
upper
Ausgangsposition
lower
right
front
left
Click to compare enlarged
upper
Finale
lower
right
front
left
Click to compare enlarged
upper
Fortschritt
lower
right
front
left

Röntgenbilder

ClinCheck-Behandlungsplan

video anterior
video right-left
video upper-lower
Download ADF files
Ausgangsposition

Behandlungszusammenfassung

Erzielte Ergebnisse

  • Klasse I-Relation erhalten
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normaler Overjet und Overbite erzielt
  • Mittellinien symmetrisch
  • Curve of Spee leveled
  • Zahnbögen begradigt und koordiniert
  • Zahnbogenform verbessert
  • Ästhetische Lachlinie wurde erzielt 
  • Alle Behandlungsziele wurden erreicht für den Fall

Gesamtbehandlungsdauer

  • 13 monate

Anzahl der Aligner

  • Maxillary: 44 + 24 + 13 = 81
  • Mandibular: 44 + 24 + 13 = 81

Tragedauer der Aligner

  • 1 woche

Bemerkungen

  • Treatment plan was to expand both arches to improve the narrow arches
  • Procline the upper and lower incisors
  • The overbite was improved by the virtual intrusion due to proclination of the anterior teeth
  • The most challenging issue to be solved was the rotation of 4.5 that had to be rotated more than 52 degrees
  • I planned to do this rotation with the help of a button placed on lingual of 4.6 and lingual of 4.5 which was very efficient
  • In my opinion what was important in this case is taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position, this helped to reduce the number of aligners for the first stage