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
,
Open bite
,
狭窄歯列
,
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

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
,
第2期治療
,
クラスⅢエラスティック
Courtesy of Dr. K. Malekian  , 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

アライナー数

  • Maxillary: 32 + 13 = 45
  • Mandibulary: 32 + 13 = 45

Aligner Wear time

  • Sequential Aligner Change Interval 14 Days-10 Days-7 Days.

保持

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • クラスⅠ関係達成
  • クラスⅠ関係維持
  • 機能的な犬歯誘導(左右側)
  • 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
  • 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

  • Maxillary expansion with upper teeth alignment and arch development was performed.
  • The upper first molar crossbite was corrected with maxillary expansion.
  • Upper incisor retraction was planned during upper arch expansion to correct the excessively proclined upper incisors.
  • During upper incisor retraction, lingual root torque of the upper incisors was performed.
  • Posterior IPR was planned for the lower premolars and canines to achieve space for retraction of severely rotated and mesially tipped lower canines.
  • Lower arch IPR at lower incisors, canines, and premolars permitted space to retract lower incisors to achieve overjet.
  • G4 multitooth extrusion attachments were planned to extrude upper incisors and canines to close the anterior open bite.
  • Full-time wear of aligners (22 hours) with Class III elastics was used to correct the class III molar and canine and achieve class I molar and canine.
  • G3 optimized rotation attachments helped to correct the severe rotation of lower canines.
  • Tipping of lower central incisors was planned.
  • Power ridges at lower incisors helped to correct lingual root control direction.

Images

Initial and final

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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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