クラスⅡ分類1
,
下顎前方誘導
,
Open bite
,
狭窄歯列
,
上顎正中のずれ
,
叢生
,
捻転

遠心移動
,
近心移動
,
挺出
,
リトラクション
,
唇側傾斜
,
First premolar extraction
,
その他の抜歯
,
IPR
,
クラスⅡエラスティック
Courtesy of Dr. C. Capan, 2020
Award 2021 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 29
  • Gender: male
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 26 months

アライナー数

  • Maxillary: 56 + 16 = 72
  • Mandibulary: 56 + 16 + 10 = 82

Aligner Wear time

  • 15 days for the first 3 months, every 10 days for the rest and 7 days for the final aligners.

保持

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • クラスⅠ関係達成
  • 機能的な犬歯誘導(左右側)
  • 正常なオーバージェット&オーバーバイト達成
  • オーバージェット改善
  • オーバーバイトの大きな改善
  • オーバージェットの大きな改善
  • 正中一致
  • 切歯の適切な歯軸角
  • 歯列の配列およびコーディネーション
  • 回転による上下顎の配列の達成
  • アーチフォーム改善
  • 審美的スマイルの達成 
  • 全ての治療目標を達成した症例
  • 調和のとれた歯列を達成

コメント

  • Distalization was planned for the upper left arch and a combination of distalization and mesialization for the upper right arch
  • Class II elastics (6 1/2 oz 4.8mm heavy) were advised for night use only
  • At the end of the initial aligners, the closure of all extraction spaces was achieved
  • For midline correction the patient used class 2 elastics on the left side and class 3 elastics on the right side during the 2nd additional aligners phase
  • The patient's cooperation was so good that he used elastics for 24/7 instead of only during the night
  • This great patient cooperation made it possible to achieve midline and anterior-posterior corrections at aligner 16 rather than aligner 20
  • At the final refinement, IPR on lower anterior and extrusion of the upper anterior were planned for a better overbite and overjet relationship

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

進捗

Click to compare enlarged
upper
lower
right
front
left
本治療治療後
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

レントゲン写真

本治療 治療後
Click to compare enlarged428
Click to compare enlarged422