Klasse II Div. 1
,
Erhöhter Overjet
,
Enge Zahnbögen
,
Mandibuläre Mittellinien-Abweichung
,
Engstand
,
Rotationen

Restaurativ
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraktion
,
ASR
,
Implantate

Behandlungsinformationen

  • Alter: 69
  • Geschlecht: Weiblich
  • Invisalign Behandlungsoption: Invisalign Full

Zusammenfassung der Diagnose

  • Klasse II Div. 1
  • Erhöhter Overjet
  • Enge Zahnbögen
  • Mandibuläre Mittellinien-Abweichung
  • Engstand
  • Rotationen

Use of:

  • Expansion
  • Extrusion
  • Intrusion
  •  Nivellierung der Spee-Kurve
  • Retraktion
  • ASR
  • Prärestaurativ
  • Implantate
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5)
  • Pressure areas (G5) on Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Optimized extrusion attachments for molars (G7+) on Buccal 3.5 (LL5)
Courtesy of Dr R. Loyer 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
  • Class II relationship maintained
  • Normaler Overjet und Overbite erzielt
  • Deutliche Verbesserung des Overjet
  • Richtige axiale Schneidezahninklination
  • Curve of Spee leveled
  • Zahnbögen begradigt und koordiniert
  • Zahnbogenform verbessert
  • Ästhetische Lachlinie wurde erzielt 
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Gesamtbehandlungsdauer

  • 9 monate

Anzahl der Aligner

  • Maxillary: 19
  • Mandibular: 19

Tragedauer der Aligner

  • 2-weeks

Bemerkungen

  • This patient was formerly treated for her bruxism with the diagnosis of Cervico-Cranio-Mandibular Disorder
  • The final position of her mandibular bone was stable
  • We did expansion and bimaxillary arch correction
  • We created more lingual torque to superior incisors, vestibular torque to inferior incisors, intruded inferior incisors to improve the curve of Spee
  • We improved the superior and inferior canine interrelationship in order to reconstruct canine cusps in a later stage to obtain canine guidance
  • Our goal was to smoothen the sulcus of the inferior lip and chin and to close the nasal-labial angle to improve the patient's profile.
  • We wanted to obtain a right-side Class I dental relationship, but the patient was satisfied and didn't want to continue with Additional Aligners
  • She decided that for her age and condition, the initial treatment including the posterior canine cusp reconstruction was really good. The treatment surpassed her initial expectations

Retention

  • Maxillary:
  • Mandibular: