クラスⅡ分類2
,
ディープバイト
,
狭窄歯列
,
歯列弓非対称
,
上顎正中のずれ
,
下顎正中のずれ
,
叢生
,
捻転
,
Impacted canines

クラスⅡエラスティック
,
遠心移動
,
Leveling curve of Spee
,
唇側傾斜
,
IPR

症例情報

  • 年齢: 11
  • 性別: 男性
  • Invisalign治療オプション: Invisalign Teen

診断の概要

  • クラスⅡ分類2
  • 狭窄歯列
  • 下顎正中のずれ
  • 上顎正中のずれ
  • ディープバイト
  • 叢生
  • 捻転
  • 歯列弓非対称
  • Impacted canines

以下を使用

  • 遠心移動
  • スピー湾曲のレベリング
  • 唇側傾斜
  • IPR
  • クラスⅡエラスティック
  • Reverse cross elastics
  • Optimized rotation attachment (G3) on Lingual 2.3 (UL3)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 2.1 (UL1)
  • Optimized deepbite attachments activated for premolar extrusion (G5) on Lingual 1.4 (UR4), Lingual 2.4 (UL4)
  • Precision bite ramp (G5) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1)
Courtesy of Dr M. Masoud 2019
Award 2018 Summit Shoot out

写真

Click to compare enlarged
upper
本治療
lower
right
front
left
Click to compare enlarged
upper
治療後
lower
right
front
left
Click to compare enlarged
upper
進捗
lower
right
front
left

レントゲン写真

ClinCheck治療計画

video anterior
video right-left
video upper-lower

治療の概要

達成した内容

  • クラスⅠ関係達成
  • 正常なオーバージェット&オーバーバイト達成
  • ディープバイト改善
  • オーバージェット改善
  • 正中一致
  • Speeのカーブは水平になっています
  • 回転による上下顎の配列の達成
  • アーチフォーム改善
  • 審美的スマイルの達成
  • 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

合計治療月数

  • 20 数ヶ月

アライナー数

  • Maxillary: 45 + 33 + 11 = 89
  • Mandibular: 45 + 33 + 11 = 89

アライナー交換頻度

  • 1週間

コメント

  • This patient lives on a boat, spending most of her time in the middle of the ocean with no access to care.
  • The patient is the daughter of explorers on a global climate mission and lives on a 50 foot aluminum sailboat traveling around the world climbing the highest peak on each continent.
  • She had a concussion and multiple traumatic injuries to her upper central incisors due to her activities on the boat in severe weather.
  • During the course of treatment she was caught in a storm and their sailboat/home was wrecked and the family had to be rescued.
  • The crowding, lip retrusion, and incisor retro-clination were addressed by dental expansion and advancement of the upper and lower incisors.
  • The patient had an upper right canine that was much more labial displaced than the left one. That was the same side that had a lingual displaced lower left first premolar
  • Both teeth had button cut outs and the patient used reverse cross elastics from the buccal of the upper right canine to the lingual of the lower right first premolar
  • The bite was opened by A) proclining the upper and lower teeth, B)Anterior bite turbos allowing posterior eruption in the presence of ramus growth (Relative Intrusion)
  • The elastics and the dis-occlusion helped the mandible grow favorably.
  • More space was opened on the right side to help make space for the impacted teeth on the right side and shift both mid lines to the left.
  • Power ridges were used to control the inclination of the upper and lower incisors.
  • Additional upper spaces were opened around the upper lateral incisors to allow for upper lateral incisor buildups.
  • The Initial round of aligners was discontinued at aligner 45 (out of 62) because multiple primary teeth had exfoliated and we wanted to to start the refinement before her next mission.
  • Two refinements (additional aligners) were needed to achieve the treatment goals.

保持

  • Maxillary:
  • Mandibular: