クラスⅠ
,
クラスⅢ
,
過大なオーバージェット
,
Deep bite
,
狭窄歯列
,
正中のずれ
,
叢生
,
捻転

圧下
,
拡大
,
IPR
,
クラスⅢエラスティック
Courtesy of Dr. K. Malekian, 2016
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: male
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 27 数ヶ月

アライナー数

  • Maxillary: 45 + 10 + 11 = 66
  • Mandibulary: 45 + 10 + 11 = 66

保持

  • Maxillary: Vivera
  • Mandibular: Vivera

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)
  • Normal overjet and overbite achieved
  • ディープバイト改善
  • オーバージェット改善
  • Significant improvement ofoverbite
  • 正中一致
  • 切歯の適切な歯軸角
  • Speeのカーブは水平になっています
  • 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
  • Aesthetic smile linewas achieved
  • 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

  • Staging Strategy : Since Teeth UR1and UR2 had a lack of space ( 45 degrees rotaion and 3mm overlap both tooth UR1 and UR2) I planned with my technitian to start CC at U1 to U5 Upper posterior Expansion and NOT TO MOVE TOOTH UR1,UR2 FROM U1 TO U5.AT STAGE U5 we have achieved some space with expansión as can be checked at the Clincheck and now we can start to rotate and align teeth.
  • The most difficult part of these treatments are both Clincheck planning and IPR and attachment tracking.It requieres a close tracking of the orthodontist.
  • Conventional Lingual bite ramps at lingual of UR1,UR2,UL1,UL2 for Upper anterior intrusión. Overcorrection of the Deep Bite and also overcorrection of the High tipping angle of UR1,LR2 is required.
  • No proclination of upper incisors was planned due to the profile and upper lip.
  • Simultaneous Posterior Teeth Expansion and Torque was planned at Clincheck.
  • Rotation of UR2,UR1 was planned at normal velocity and simultaneous Tipping movement was done at UR1,UR2 at slow velocity.
  • Treatment aligners change every 14 days.
  • Refinement aligner change every 7 days.

Images

Initial and final

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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
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レントゲン写真

本治療
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