Deep bite
,
上顎正中のずれ
,
空隙
,
正中離開

Leveling curve of Spee
,
挺出
,
圧下
,
リトラクション
,
空隙閉鎖
Courtesy of Dr M. Roennau Lemos Rinaldi, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

アライナー数

  • Maxillary: 23 + 11 + 11 = 45
  • Mandibulary: 19 + 22 + 11 = 52

Aligner Wear time

  • 1週間

保持

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • クラスⅠ関係維持
  • 機能的な犬歯誘導(左右側)
  • ディープバイト改善
  • 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
  • アーチフォーム改善

コメント

The leveling of the curve of Spee was obtained with the intrusion of the upper and lower incisors, and extrusion of premolars.
Bite Ramps planned only in 1.3 and 2.3 to facilitate the extrusion of premolars during the first set of aligners.The excessive overjet made impossible to apply Bite Ramps on upper incisors. At the final of the first set of aligners, the overjet was improved and the midline correction achieved.
The second set was planned with Bite Ramps in anterior teeth and the use of vertical elastics for posterior extrusion. At the final of this set a better overbite was achieved.
The final set of aligners closed residual spaces, and Class II elastics were prescribed to potencialize the action of Power Ridges.

Images

Initial and final

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upper
lower
right
front
left
lower
front
left

進捗

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left
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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