クラスⅡ分類2
,
Deep bite
,
狭窄歯列
,
正中のずれ
,
叢生

クラスⅡエラスティック
,
遠心移動
,
挺出
,
圧下
,
拡大
,
唇側傾斜
,
IPR
Courtesy of Dr M. Pedernera, 2017
Award 2018 Peer Review Awards
Before picture of treatment

スポットライト 内の症例

Dr M. Pedernera

We would like to congratulate Dr. Pedernera with winning the 2018 EMEA Peer Review Awards!

Dr M. Pedernera

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 19数ヶ月

アライナー数

  • Maxillary: 34 + 14 = 48
  • Mandibulary: 26 + 14 = 40

Aligner Wear time

  • At the start of the treatment every 2 weeks, gradually changed to 1 week

保持

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • クラスⅠ関係達成
  • 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
  • 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
  • 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

  • This case was an Advanced case and was a good challenge for me.
  • The main issue was to solve the crowding of the upper teeth and the high position of 1.2, as well correct the sagital problem.
  • My plan was to distalize the upper arch using the 1/2 protocol and moving a maximum of two teeth at the time, with an aesthetic beginning proclining the upper incisors.
  • For increased anchorage I used Class II elastics.
  • Also made expansion of both the upper and lower to improve the buccal corridors due to the narrow arches, at the same time in the first Clincheck I manage to create extrusion of 1.2.
  • In my opinion one of the important things in this case was taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position.
  • This helped to reduce the number of aligners for the first stage.
  • The extraction of the four third molars was done before starting the treatment.
  • A very short phase of additional aligners was necessary to finish the treatment with a beautiful and functional occlusion.
  • The patients cooperation during the treatment was 10 out of 10.

Images

Initial and final

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upper
lower
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front
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upper
lower
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left

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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