クラスⅢ
,
臼歯部クロスバイト
,
前歯部クロスバイト
,
Deep bite
,
狭窄歯列
,
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
,
空隙
,
正中離開

遠心移動
,
近心移動
,
Leveling curve of Spee
,
圧下
,
拡大
,
リトラクション
,
唇側傾斜
,
IPR
,
第2期治療
,
クラスⅢエラスティック
Courtesy of Dr. K. Malekian, 2019
Before picture of treatment

スポットライト 内の症例

Dr. K. Malekian

We would like to thank Dr. Malekian for this Class III case submission, that provides an almost step by step insight into the excellent treatment planning with a great treatment end result.

Dr. K. Malekian

Treatment Summary

Patient Information

  • Age: 31
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20 数ヶ月

アライナー数

  • Maxillary: 62 + 17 = 79
  • Mandibulary: 62 + 17 = 79

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

  • Maxilla arch expansion
  • Mesialization of upper arch: molars, premolars, canine
  • Sequential lower arch distalization: molars, premolars, canine & incisors ( total distalization 3.25mm )
  • Full-time class iii elastics wear
  • Full-time aligner wear
  • Sequential attachments at lower molars: at the stage, the lower molars finish distalization a 4mm beveled attachment is placed at the buccal surface of the lower molars to increase anchorage
  • Lingual beveled attachments placed at the lingual surface of lower incisors
  • Retraction and simultaneous lingual root torque of lower incisors during lower arch sequential distalization
  • The lower reversed curve of Spee flattened
  • Multiple rotations were aligned with optimized rotation attachments: ur5, ur4, ul4
  • Spacing and diastema were closed at upper incisors

Images

Initial and final

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lower
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front
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upper
lower
right
front
left

進捗

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upper
lower
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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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