クラスⅢ
,
Open bite
,
正中のずれ
,
叢生
,
捻転

クラスⅢエラスティック
,
近心移動
,
挺出
,
圧下
,
拡大
,
IPR
Courtesy of Dr M. Pedernera, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 数ヶ月

アライナー数

  • Maxillary: 28 + 17 + 17 = 62
  • Mandibulary: 28 + 17 + 17 = 62

Aligner Wear time

  • 1週間

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
  • 歯列の配列およびコーディネーション
  • Aesthetic smile linewas achieved
  • 全ての治療目標を達成した症例

コメント

  • The chief concern was that it the patient was not able to bite properly (through food) with the anterior teeth.
  • The patient didn't accept the use of TAD's so she challenged me and asked me to try with anterior extrusion and posterior intrusion with the help of chewies
  • The patient moved to another country during treatment.
  • My treatment plan was to expand both arches to improve the narrow arch situation
  • In the first Clincheck I asked to close the anterior open bite through Anterior Extrusion, combined with posterior intrusion and it worked just perfect.
  • I ordered the extraction of all wisdom teeth, and that has reduced the open bite significantly, allowing the premolars and anterior teeth to contact for the first time in her life
  • Once we arrived in the final stage of additional aligners (last 4 aligners), there was an issue with 1.2 and 2.2 not fitting well
  • I've managed to force eruption with buttons and elastics as you can see in the intermediate pictures
  • The orthodontic treatment was combined with a lingual reeducation working hand to hand with a Speech Therapist
  • We finalized the treatment with fixed retainers from cuspid to cuspid and Vivera retainers on top and bottom.

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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