クラスⅠ
,
下顎前方誘導
,
Deep bite
,
狭窄歯列
,
叢生
,
捻転

圧下
,
拡大
,
リトラクション
,
唇側傾斜
,
IPR
,
クラスⅡエラスティック
Courtesy of Dr V. Laoamata, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 41
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 13 数ヶ月

アライナー数

  • Maxillary: 25 + 9 = 34
  • Mandibulary: 26 + 9 = 35

Aligner Wear time

  • 1週間

保持

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • クラスⅠ関係維持
  • 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
  • オーバーバイトの大きな改善
  • 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

  • This is a dental deep bite in the skeletal open bite configuration case.
  • Anterior intrusion without posterior extrusion was planned to correct anterior deep bite and maintain the lower facial height.
  • Since the original retroclination of the lower incisors, proclination was favorable to gain space for correction of crowding and relative intrusion to correct deep bite.
  • Severe rotation of 35 was corrected effectively by optimized rotational attachment together with using lingual button and power chain as the auxiliary mechanic.
  • 27 was intruded until completely level with 26 without undesirable buccal crown torque by Invisalign biomechanic.
  • A set of additional aligners was prescribed for detailing and settling the final occlusion.
  • Dental implant at tooth 37 will be placed soon after the COVID-19 situation has resolved.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
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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