クラスⅡ分類1
,
過大なオーバージェット
,
下顎前方誘導
,
Deep bite
,
狭窄歯列
,
下顎正中のずれ
,
正中のずれ
,
叢生
,
捻転
,
空隙

下顎前方誘導
,
遠心移動
,
近心移動
,
スピー湾曲のレベリング
,
挺出
,
圧下
,
拡大
,
リトラクション
,
IPR
,
空隙閉鎖
,
クラスⅡエラスティック
,
Elastics: Class II in Additional Aligners
Courtesy of Dr B. Wang, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 10
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 22数ヶ月

アライナー数

  • Maxillary: 44 + 39 = 83
  • Mandibulary: 44 + 39 = 83

Aligner Wear time

  • 1週間

保持

  • Maxillary: Hawley
  • Mandibular: Hawley

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

  • Buccally upright the crown of upper posterior teeth to help correct narrow upper dental arch
  • Spaces gained from upper dental expansion and upper molars distalization combined with pre-treatment upper dental space and leeway space were used to help retract labially proclined upper incisors
  • Class II elasctics were used for mandibular advancement and upper posterior teeth distalization
  • Lower premolars extrusion and incisors intrusion to help correct severe anterior deep overbite
  • IPR was used for upper anterior teeth to help correct Bolton discrepancy in the upper and lower anterior region
  • Upper incisors retraction and mandibular advancement to help correct severe anterior deep overjet
  • Power ridge designs were used for lower anterior teeth to help prevent gingival recession, alveolar bone dehiscence, and fenestration during orthodontic treatment
  • Waited with 15, 25, 45, 17, 27, 37, and 47 until eruption into dentition and all could be included in orthodontic treatment
  • Extraction of the supernumerary tooth after orthodontic treatment completed

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
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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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