クラスⅢ
,
臼歯部クロスバイト
,
前歯部クロスバイト
,
切端咬合
,
狭窄歯列
,
歯列弓非対称
,
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
,
IPR
,
クラスⅢエラスティック
Courtesy of Dr J. Weng, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 18
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 22数ヶ月

アライナー数

  • Maxillary: 53 + 11 = 64
  • Mandibulary: 57 + 15 = 72

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)
  • 前歯部クロスバイト改善
  • 臼歯部クロスバイト改善
  • 正常なオーバージェット&オーバーバイト達成
  • 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 
  • 調和のとれた歯列を達成

コメント

  • This patient is skeletal Class III(ANB=-3°) with mandibular deviation.
  • Invisalign aligners have advantages on molar distalization. The lower left molars are distally moved by 3.2mm and the lower right molars are distally moved by 1mm, which help retracting the lower anterior teeth and adjusting the lower midline to the left.
  • Class III elastics were used to strengthen anchorage, which can enhance expression rate of lower molar distalization.
  • Expansion and IPR was used to align teeth and adjust the midline. Upper incisors add 4° negative torque to improve upper incisors proclination.

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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