クラスⅠ
,
臼歯部クロスバイト
,
切端咬合
,
Open bite
,
狭窄歯列
,
歯列弓非対称
,
下顎正中のずれ
,
正中のずれ
,
叢生
,
捻転

スピー湾曲のレベリング
,
挺出
,
拡大
,
リトラクション
,
唇側傾斜
,
IPR
,
クラスⅡエラスティック
Courtesy of Dr. K. Malekian, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 15 数ヶ月

アライナー数

  • Maxillary: 28 + 20 = 48
  • Mandibulary: 28 + 20 = 48

Aligner Wear time

  • Progressive Aligner Change: 14 Days- 10 Days- 7 Days.

保持

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

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
  • Curve of Spee leveled
  • 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

  • Posterior teeth expansion: upper and lower arch: molars and premolars
  • Space achievement for upper anterior incisor alignment
  • Lingual root torque: upper and lower molars, premolars, canines
  • Lingual root torque of upper central teeth
  • IPR upper arch: 0.2mm at ur2, ur1, ul1, ul2
  • IPR lower arch: 0.2mm at ll5, ll4, ll3, ll2, ll1, lr1, lr2, lr3, lr4, lr5
  • Retraction of the lower right central tooth in order to relief the edge-edge with the upper right central tooth
  • Tipping root distally of upper lateral teeth
  • Crossbite correction of upper second left premolar: expansion & simultaneous lingual root torque of ul5
  • Class II elastics during the treatment time and at additional aligners
  • Extrusion of upper & lower incisors and canines: multi-tooth extrusion attachments (G4)
  • Overcorrection of upper laterals & canines extrusion

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

進捗

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upper
lower
right
front
left
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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