Class I
,
Openbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Crowding

Extrusion
,
Intrusion
,
Expansion
,
Proclination
,
IPR

치료 정보

  • 연령: 39
  • 성: 여자
  • Invisalign 치료 옵션: Lite

진단 요약

  • Class I relationship
  • Narrow Arches
  • Mandibular midline deviation
  • Maxillary midline deviation
  • Openbite
  • Crowding
  • Asymmetric arches

사용

  • Expansion
  • Extrusion
  • Intrusion
  • Proclination
  • IPR
  • Optimized Rotation Attachment (G3) on Buccal 2.3 (UL3)
  • Optimized Extrusion Attachment (G3) on Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized Multiplane Feature (G4) on Buccal 2.2 (UL2)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
Courtesy of Dr. M. Pedernera 2017

사진들

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

방사선 사진

ClinCheck 치료 계획

video anterior
video right-left
video upper-lower

치료 요약

성취된 결과

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

총 치료 개월수

  • 9개월

Number of aligners

  • Maxillary: 14 + 12 = 26
  • Mandibular: 14 + 12 = 26

얼라이너 착용 시간

  • 2주

코멘트

  • The anterior open bite, anterior proclination combined with narrow arches and crowding was a tough basically because not only the alignement and expansión could make the anterior open bite to get worse, I combined a mild expansion on the upper and lower arches, with anterior and posterior IPR in the lower arch to be able to solve the problem of the crowding without the need of proclination.
  • The first set of aligners were made after taking PVS impressions and the following sets after scanning with iTero Element.
    The first set of aligners were changed every 2 weeks but in the refinement stage the patient was asked to do it every week.
  • The 1.2 and 2.2 teeth were reshaped wearing just a small part of the incisal edge to improve their shape