クラスⅡ分類1
,
臼歯部クロスバイト
,
前歯部クロスバイト
,
切端咬合
,
過大なオーバージェット
,
狭窄歯列
,
歯列弓非対称
,
下顎正中のずれ
,
正中のずれ
,
叢生
,
捻転
,
補綴前

第2期治療
,
遠心移動
,
スピー湾曲のレベリング
,
挺出
,
拡大
,
唇側傾斜
,
IPR
,
インプラント
,
クラスⅡエラスティック
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 46
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 23 数ヶ月

アライナー数

  • Maxillary: 41 + 19 + 18 = 78
  • Mandibulary: 41 + 19 + 18 = 78

Aligner Wear time

  • Progressive Interval Aligner change 14 days- 10 days- 7 days. At refinement Aligner interval change is 7 days.

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
  • 臼歯部クロスバイト改善
  • Normal overjet and overbite achieved
  • 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
  • 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

  • 1. Clincheck Planning strategy for high canine 23 : Due to anatomic high buccal position with severe lack of space we planned to move lingually canine 23 as soon as we achieved space with Maxilla posterior area expansion.2. Posterior Expansion of upper premolar and molar area in order to correct the posterior cross bite on the right side.3. Canine 43 with severe rotation and trapped between adjacent teeth 32 and 43 : Clincheck planning was based on distalization of adjacent premolars 44,45 distally with IPR control Clincheck protocol and tracking in order to achieve the necessary space in order to allow canine 43 to rotate and align.

    4. Tracking of severe rotations of teeth 31 and 43 was one of the key points.

    5. Open Bite closure : Once we achieved developed arch form and alignment and leveling of upper and lower anterior teeth we placed Multi- Tooth Extrusion attachment (G4) at upper incisors and canines.

     

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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