Class III
,
Anterior Crossbite
,
Narrow arches
,
Posterior crossbite
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class III
,
Distalization
,
Intrusion
,
Expansion
,
Proclination
,
IPR

치료 정보

  • 연령: 33
  • 성: 여자
  • Invisalign 치료 옵션: Full

진단 요약

  • Class III relationship
  • Narrow Arches
  • Midline Shift
  • Anterior Crossbite
  • Posterior Crossbite
  • Mandibular midline deviation
  • Maxillary midline deviation
  • Crowding
  • Rotations
  • Asymmetric arches

사용

  • Distalization
  • Intrusion
  • Levelling Curve of Spee
  • Expansion
  • Proclination
  • IPR
  • Elastics: Class III
  • Optimized Rotation Attachment (G3) on Buccal 2.3 (UL3)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1)
Courtesy of Dr. K. Malekian 2016

사진들

Click to compare enlarged
upper
치료 전 초기
lower
right
front
left
Click to compare enlarged
upper
최종
lower
right
front
left
진행
right
front
left

방사선 사진

ClinCheck 치료 계획

video anterior
video right-left
video upper-lower

치료 요약

성취된 결과

  • Class I relationship achieved
  • Class I relationship maintained
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

총 치료 개월수

  • 개월

Number of aligners

  • Maxillary: 40 + 17 + 14 = 71
  • Mandibular: 40 + 17 + 24 = 81

코멘트

  • Aligner wear time: 2-weeks
  • Other results achieved: 1. With Invisalign Technique we have achieved Full Class I molar and canine bilateral with normal overjet and overbite achieved WITH A VERY CONSERVATIVE ALTERNATIVE : No surgery,no fixed appliance , No extraction,,,, just " Sequential Lower Arch Distalisation ". Lower wisdom teeth and full day compliance Aligner + Class III elastics is requiered2.Upper arch maxilary expansión
    3.Root Control attachment UR1 in order to correct tipping teeth UR1.
    4.Clincheck Esthetic Start strategy : Aligners L1 to L7 we achive partial alignment of lower anterior teeth in order to motivate the patient with short term esthetic results before starting lower arch sequential lower molar-premolar-canine and finally lower incisor distalisation.
    5.Upper arch Crowding and lateral Posterior Crossbite( left side )was resolved with Expansion. No uper IPR was requiered.
    6.Anterior Cross Bite was resolved with a combination of : Lower arch distalisation ( principal space achiever) + IPR 0.5mm lower anterior ( incisors and canines) + Upper incisor proclination.
    7.High Patient Compliance is required. Full day 22 hours aligner+class III elastics.
    8.Treatment aligner change every 14 days.
    9.Refinement aligner change every 7 days.

보유

  • Maxillary: Vivera
  • Mandibular: Vivera