クラスⅢ
,
前歯部クロスバイト
,
切端咬合
,
Deep bite
,
狭窄歯列
,
臼歯部クロスバイト
,
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
,
Leveling curve of Spee
,
挺出
,
圧下
,
拡大
,
唇側傾斜
,
IPR
Courtesy of Dr K. Malekian, 2018
Award 2019 Peer Review Award
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 21 数ヶ月

アライナー数

  • Maxillary: 32 + 33 + 20 = 85
  • Mandibulary: 32 + 33 + 20 = 85

Aligner Wear time

  • 10 day aligner change for treatment aligner. Refinement aligner change range between 7-5 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
  • 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
  • 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

  • Determine space selection was the key factor to resolve the severe crowding in the upper and lower arch
  • Staging was also a key factor: We started with high expansion of upper molars and premolars and when gained enough space we continued with arch development and retraction to extrude upper canines
  • IPR was planned at upper and lower premolars
  • Carefull IPR tracking with distalization movement of upper and lower premolars allowed space in order to align high angle rotation of canines 2.3,3.3 and 4.3 .
  • Conventional bite ramps at the buccal surface of lower four incisors were used in order to correct the deepbite
  • Class III elastics were used in order to improve the anterior/posterior relationship and turn Class III canine and molar into full class I molar and canine.
  • Proclination of upper laterals 1.2 and 2.2 in order to correct the anterior crossbite.
  • Arch coordination tool at clincheck Pro was very helpfull.
  • The maxilla and mandible arch form at stage U0-L0 were very asymmetric and required arch form coordination.
  • Lower incisor proclination and simultaneously lower canines were retracted and distalized

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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