クラスⅢ
,
前歯部クロスバイト
,
過大なオーバージェット
,
Open bite
,
正中のずれ
,
叢生
,
捻転

遠心移動
,
挺出
,
拡大
,
リトラクション
,
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: 19
  • Gender: male
  • Invisalign Submission Option: Full

Total Treatment Time

  • 25 months

アライナー数

  • Maxillary: 40 + 18 = 58
  • Mandibulary: 40 + 18 = 58

Aligner Wear time

  • Treatment aligner cahnghae 14 days Refinement aligner change 7 days

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)
  • 前歯部クロスバイト改善
  • Normal overjet and overbite achieved
  • オーバージェット改善
  • 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
  • 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

  • Aesthetic Start in the lower arch from L1-L9. The purpose is to achieve partial alignment of lower anterior teeth in order to motivate the patient so during the course of lower distalisation from L9-L40 there is more compliance wearing full time 22 hours aligners and class III elastics.
  • Expansion of upper maxilla and simultaneous retraction of UL1.
  • Lower distalisation as main strategy technique in order to solve the dental class III molar and canine into class I molar and canine.
  • Precision cuts at UR6 and UL6 for Class III elastics.
  • Full time Class III and aligner wear during total treatment time.
  • Once the lower 2nd molars stop distalisation at stage 16, beveled attachment is placed at the buccal surface in order to avoid anchorage loss in the lower arch.
    7.Once the lower 1st molars ,2nd and 1st premolars stop distalisation ...at that stage beveled attachment is placed at the buccal Surface in order to avoid anchorage loss in the lower arch.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

進捗

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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
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