クラスⅡ分類1
,
Deep bite
,
狭窄歯列
,
歯列弓非対称
,
下顎正中のずれ
,
正中のずれ
,
叢生
,
捻転
,
空隙

遠心移動
,
スピー湾曲のレベリング
,
挺出
,
圧下
,
拡大
,
リトラクション
,
唇側傾斜
,
IPR
,
空隙閉鎖
,
クラスⅡエラスティック
Courtesy of Dr K. Fei Fong, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 21 数ヶ月

アライナー数

  • Maxillary: 63 + 15 = 78
  • Mandibulary: 30 + 15 = 45

保持

  • Maxillary: Other clear
  • Mandibular: Other clear

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
  • ディープバイト改善
  • 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
  • Curve of Spee leveled
  • 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

1. Early improvement is very important in this case, to encourage patient compliance and confidence.
2. Start from stage 1, upper arch posterior sequential distalization was done by using align default distalization. Also, for early improvement and reduce amount of aligners, upper 2-2 retraction was done by stage 1.
3. Class II elastics was started from stage 4 for upper arch distalization anchorage.
4. No TADs were inserted in the whole treatment.
5. Lower intrusion is one of the important movement in this case to correct deep bite, staged intrusion was designed and performed very well in this case.
6. COVID-19 didn't affect to this patient and treatment, she still can wear aligner at home and finish this case with beautiful smile finally.

Images

Initial and final

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進捗

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本治療治療後
Before picture of treatment
After picture of treatment
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レントゲン写真

本治療 治療後
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