クラスⅢ
,
前歯部クロスバイト
,
切端咬合
,
狭窄歯列
,
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
,
垂直エラスティック
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: female
  • Invisalign Submission Option: Teen

Total Treatment Time

  • 24 数ヶ月

アライナー数

  • Maxillary: 20 + 37 + 15 = 72
  • Mandibulary: 20 + 37 + 15 = 72

Aligner Wear time

  • Progressive Aligner change interval.14 day -10 day-7 day depending on complexity of the movements and patient compliance.At refinement 7 day change interval.

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
  • Significant improvement ofoverbite
  • 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
  • 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

  • 1. The main goal at the initial Clincheck was to expand and distal upper left molars and premolars in order to open space for canines 13,23.We successfully achieved this goal.
    2. At refinement we used class III elastics and Multi-Extrusion G4 attachments for open bite closure, and Class III elastics to achieve class I molar and canine.
    3. Geometric pontics were placed for teeth 13, 23, 25. During staging the mesio-distal width of pontics 13,23,25 increased in order to allow enough space for eruption.
    4. Canines 13, 23 erupted during treatment period with high angle rotation placed, optimized rotation attachments at refinement period
    5. Multi-Tooth Extrusion Attachments were used at upper and lower incisors and canines for open bite closure.
    6. Class III Elastics were used in order to go from class III into class I molar and canine bilateral

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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