Class II div 2
,
Narrow arches
,
Midline shift
,
Crowding
,
Rotations

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

치료 정보

  • 연령: 50
  • 성: 여자
  • Invisalign 치료 옵션: Full

진단 요약

  • Class II div 2 relationship
  • Narrow Arches
  • Midline Shift
  • Crowding
  • Rotations

사용

  • Distalization
  • Elastics: Class II
  • Levelling Curve of Spee
  • Expansion
  • Intrusion
  • Proclination
  • IPR
  • Power Ridge Feature on Buccal 2.1 (UL1), Buccal 4.2 (LR2)
  • Optimized Rotation Attachment (G3) on Buccal 2.4 (UL4), Buccal 2.5 (UL5), Lingual 2.5 (UL5)
  • Optimized Multiplane Feature (G4) on Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1)
  • Precision Bite Ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 1.4 (UR4), Buccal 4.4 (LR4), Buccal 3.4 (LL4)
Courtesy of Dr. E. Rothier 2017

사진들

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

방사선 사진

ClinCheck 치료 계획

video anterior
video right-left
video upper-lower

치료 요약

성취된 결과

  • Class II relationship maintained
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Curve of Spee levelled
  • All treatment goals were achieved case

총 치료 개월수

  • 14개월

Number of aligners

  • Maxillary: 15 + 14 = 29
  • Mandibular: 15 + 14 = 29

얼라이너 착용 시간

  • 1주

코멘트

  • Patient has a class II of the left side and midline deviation. The patient did not want to use elastics fulltime, so we decided to solve the crownding with IPR, expansion, and elastics at night for anchorage. We needed additional aligners to solve some small residual rotations. In the first set of aligners we changed it every 2 weeks, and we did a 1 week change in the additional aligners.

보유

  • Maxillary: Vivera
  • Mandibular: Fixed/Bonded