Class II div 1
,
Increased overjet
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Proclination

치료 정보

  • 연령: 15
  • 성: 남성
  • Invisalign 치료 옵션: Teen

진단 요약

  • Class II div 1 relationship
  • Narrow Arches
  • Midline Shift
  • Mandibular midline deviation
  • Maxillary midline deviation
  • Deepbite
  • Increased overjet
  • Crowding
  • Rotations
  • Asymmetric arches

사용

  • Elastics: Class II
  • Leveling Curve of Spee
  • Expansion
  • Extrusion
  • Intrusion
  • Proclination
  • Power Ridge Feature on Buccal 1.1 (UR1)
  • Optimized Rotation Attachment (G3) on Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 2.3 (UL3), Buccal 2.4 (UL4)
  • Conventional Bite Ramp on Lingual 1.3 (UR3), Lingual 2.3 (UL3)
  • Pressure Areas (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
Courtesy of Dr M. Pedernera 2018
Award 2019 Peer Review Award

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
  • Proper axial inclination of incisors
  • Curve of Spee levelled
  • Arches aligned and coordinated
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

총 치료 개월수

  • 15 개월

Number of aligners

  • Maxillary: 17 + 9 + 10 = 36
  • Mandibular: 18 + 9 + 8 = 35

얼라이너 착용 시간

  • The first set of aligners were changed every 2 weeks
  • The Additional Aligners were changed every week

코멘트

  • This case was very challenging for me because the patient wanted not only to improve the crowded teeth but to improve his profile.
  • The main issue was to solve the crowding of the lower teeth and performing intrusion of both the upper and lower incisors.
  • In order to correct the Spee curve some extrusion of the lateral sectors was needed and the conventional bite ramps helped.
  • The patient wore his aligners and elastics the right amount of time
  • Class II elastics full time on the left side and only at night on the right side.