クラスⅡ分類2
,
切端咬合
,
狭窄歯列
,
叢生
,
捻転

遠心移動
,
挺出
,
圧下
,
唇側傾斜
,
IPR
,
TADs
,
Overtreatment
,
Elastics: Class II in Additional Aligners
Courtesy of Dr X. Lan, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 23 数ヶ月

アライナー数

  • Maxillary: 51 + 28 + 15 = 94
  • Mandibulary: 51 + 28 + 15 = 94

Aligner Wear time

  • 1週間

保持

  • Maxillary: Other clear
  • Mandibular: Other clear

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
  • オーバージェット改善
  • 切歯の適切な歯軸角
  • 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
  • 審美的スマイルの達成 
  • 全ての治療目標を達成した症例

コメント

AP:

  • Distalization of lower molar and procline lower anteriors to get space to align lower teeth;
  • distalizaion upper molar to achieve Class Ⅰ and align anteriors;
  • since lower needs distalization, TADs were used to increase anchorage on A/B/C;
  • added LRT to get proper U incisors inclination;
  • IPR on lower to correct Bolton discrepancy and black triangle.

Vertical:

  • Intruding anterior and extruding posteriors to level curve of Spee;
  • extruding 1.2 to improve smile Arc.

Transverse:

  • Slightly expanding U&L arch to improve the width of the smile.

Staging:

  • Using Align Defalcult V-patter to distalization to get efficiency and efficiency balance;
  • adding LRT and procline U anteriors then intruding and traction to increase the predictability.

Images

Initial and final

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lower
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front
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進捗

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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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