クラスⅡ分類1
,
過大なオーバージェット
,
下顎前方誘導
,
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
,
圧下
,
拡大
,
リトラクション
,
First premolar extraction
,
空隙閉鎖
,
クラスⅡエラスティック
,
クラスⅢエラスティック
,
抜歯
Courtesy of Dr W. Li, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 118
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 21 数ヶ月

アライナー数

  • Maxillary: 40 + 19 + 16 = 75
  • Mandibulary: 40 + 18 + 30 = 88

保持

  • Maxillary: Other
  • Mandibular: Other

Results achieved

  • クラスⅠ関係達成
  • クラスⅠ関係維持
  • 正常なオーバージェット&オーバーバイト達成
  • オーバージェットの大きな改善
  • 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 patient was Angle class I malocclusion with an obvious protrusive maxilla, slight retractive mandible, and a severe gummy smile.
  • We chose to extract 4 first premolars and use 2 anchorage screws to improve the convex profile and gummy smile.
  • We kept the strong anchorage design of G6 for the mandible.
  • For the upper arch, based on G6, we changed several optimized attachments into traditional rectangular attachments to enhance retention.
  • At the same time, the vertical overcorrection of anterior teeth was designed, and the torque overcorrection of anterior teeth was added, to help achieve better control of the torque and vertical height of anterior teeth during the progress when the anterior teeth were retracted.
  • After 26 months of aligner treatment, the patient achieved great improvements.
  • Firstly, the normal occlusal relationship was established,
  • Secondly, the profile changed from convex to straight, and
  • Thirdly, a beautiful smile curve was established and the gummy smile was relieved.
  • This case suggests that adult cases with skeletal type II convex deformity can be quickly and effectively corrected by the Invisalign system.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left
本治療治療後
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

レントゲン写真

本治療 治療後
Click to compare enlarged398
Click to compare enlarged392