クラスⅠ
,
クラスⅢ
,
狭窄歯列
,
下顎正中のずれ
,
正中のずれ
,
叢生
,
捻転

遠心移動
,
近心移動
,
スピー湾曲のレベリング
,
挺出
,
圧下
,
拡大
,
唇側傾斜
,
クラスⅡエラスティック
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 28 数ヶ月

アライナー数

  • Maxillary: 50 + 16 + 21 = 87
  • Mandibulary: 50 + 16 + 21 = 87

Aligner Wear time

  • Every 2 weeks the first set of aligners and every week in the Additional Aligners

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
  • 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

  • To create space for a future implant in the zone of 4.5 I planned on distalizing 4.6 and 4.7
  • Mesialization on 4.4, 4.3 created the opportunity tocorrect the lower midline and upright the tipped lower incisors
  • The space for the eruption of 3.5 was bigger than needed therefor we distalized 3.4 and 3.3 in order to create a more organic space
  • To solve the deep bite I planned intrusion of lower anterior teeth and intrusion on 3.7 and 4.7, with mild extrusion of lower premolars and first molars.
  • To help with the intrusion we used precision bite ramps in palatal of 1.2, 1.1, 2.1 and 2.2.
  • Upper jaw sequenced expansion by 1/2 protocol and expansion of the posterior teeth
  • De-rotation of 1.6 and 2.6 before aligning the anterior teeth and retruding them
  • The cooperation of the patient during the hole treatment was absolutely fantastic

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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