クラスⅢ
,
前歯部クロスバイト
,
切端咬合
,
Open bite
,
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

クラスⅢエラスティック
,
遠心移動
,
スピー湾曲のレベリング
,
挺出
,
拡大
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: male
  • Invisalign Submission Option: Teen

Total Treatment Time

  • 17 数ヶ月

アライナー数

  • Maxillary: 32 + 17 = 49
  • Mandibulary: 32 + 17 = 49

Aligner Wear time

  • Progressive Aligner change protocol.( 14 day -10 day-7 day). At Refinement period 7 day change aligner interval.

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
  • 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
  • オーバージェットの大きな改善
  • 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

コメント

  • 1.Sequential lower arch distalisation ( tooth by tooth ) is the key factor to go from Class Molar and canine into Class I Molar and Canine.
    2.Esthetic start motivation from stages L1 to L6 prior starting sequential lower distalisation.
    3.Esthetic start motivation goal is to improve the lower anterior crowding in the first stages which patients appreciate and motivates them.
    4.Lingual bevelled attachments at lower incisors allows us extra anchorage during sequential distalisation of lower molars and premolars.
    5.Molar anchorage attachments: Once the second lower molars and first lower molars finish distalisation we place a bevelled attachment at the buccal surface of the molars increasing aligner fitness and anchorage for the upcoming premolars and lower anterior to be distalised.
    6.Upper Maxilla posterior expansion.
    7.***One of the key factor is that with lower arch distalisation we achieve overjet which is crucial in order to improve the lower incisor torque and to retract upper incisors improving esthetic inclination.The goal is to achieve 131 interincisal angle at the end of treatment.
    8.Full time 22 hour per day aligner and class III elastics is requiered.
    9.Vivera Retainer upper and lower arch (night time wear)
    10.Fixed lingual retainer 3-3 .

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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