クラスⅢ
,
臼歯部クロスバイト
,
前歯部クロスバイト
,
狭窄歯列
,
正中のずれ
,
叢生
,
捻転

遠心移動
,
圧下
,
拡大
,
唇側傾斜
,
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: 33
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 24 数ヶ月

アライナー数

  • Maxillary: 40 + 17 + 14 = 71
  • Mandibulary: 40 + 17 + 24 = 81

保持

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • クラスⅠ関係達成
  • クラスⅠ関係維持
  • 前歯部クロスバイト改善
  • 臼歯部クロスバイト改善
  • Normal overjet and overbite achieved
  • ディープバイト改善
  • 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

  • Aligner wear time: 2-weeks
  • Other results achieved: 1. With Invisalign Technique we have achieved Full Class I molar and canine bilateral with normal overjet and overbite achieved WITH A VERY CONSERVATIVE ALTERNATIVE : No surgery,no fixed appliance , No extraction,,,, just " Sequential Lower Arch Distalisation ". Lower wisdom teeth and full day compliance Aligner + Class III elastics is requiered2.Upper arch maxilary expansión
    3.Root Control attachment UR1 in order to correct tipping teeth UR1.
    4.Clincheck Esthetic Start strategy : Aligners L1 to L7 we achive partial alignment of lower anterior teeth in order to motivate the patient with short term esthetic results before starting lower arch sequential lower molar-premolar-canine and finally lower incisor distalisation.
    5.Upper arch Crowding and lateral Posterior Crossbite( left side )was resolved with Expansion. No uper IPR was requiered.
    6.Anterior Cross Bite was resolved with a combination of : Lower arch distalisation ( principal space achiever) + IPR 0.5mm lower anterior ( incisors and canines) + Upper incisor proclination.
    7.High Patient Compliance is required. Full day 22 hours aligner+class III elastics.
    8.Treatment aligner change every 14 days.
    9.Refinement aligner change every 7 days.

Images

Initial and final

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lower
right
front
left
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lower
right
front
left

進捗

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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