クラスⅢ
,
臼歯部クロスバイト
,
前歯部クロスバイト
,
切端咬合
,
Open bite
,
狭窄歯列
,
歯列弓非対称
,
上顎正中のずれ
,
下顎正中のずれ
,
正中のずれ
,
叢生
,
捻転

遠心移動
,
スピー湾曲のレベリング
,
挺出
,
拡大
,
リトラクション
,
IPR
,
第2期治療
,
クラスⅢエラスティック
Courtesy of Dr K. Malekian  , 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

アライナー数

  • Maxillary: 33 + 17 = 50
  • Mandibulary: 33 + 17 = 50

Aligner Wear time

  • Progressive Aligner Change interval: 14days- 10 days- 7 days

保持

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • クラスⅠ関係達成
  • クラスⅠ関係維持
  • 機能的な犬歯誘導(左右側)
  • 前歯部クロスバイト改善
  • 臼歯部クロスバイト改善
  • 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
  • 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

  • Upper and lower wisdom molars were extracted pre-Invisalign treatment.
  • The lower wisdom molar extraction was required in this treatment due to lower arch sequential distalization and planned at clincheck treatment plan.
  • The hyperexpansion of upper right first premolar was corrected planning lingual movement with simultaneous torque control.
  • We planned sequential lower arch distalization to correct the class III molar and canine into class I molar and canine.
  • Lower arch sequential distalization provided space in order to retract lower anterior teeth and therefore correct crossbite of upper lateral teeth.
  • The anterior overjet created, allowed us to retract upper incisors and therefore correct dental biprotusion.
  • Patient collaboration during total treatment time was excellent, wearing full-time ( 22 hours/day ) aligners and class III elastics.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

進捗

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upper
lower
right
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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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