Class III
,
Narrow arches
,
Posterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Rotations
,
Spacing

Expansion
,
Leveling curve of Spee
,
IPR
,
Space Closure
,
Pre-surgical

치료 정보

  • 연령: 41
  • 성: 여자
  • Invisalign 치료 옵션: Full

진단 요약

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

사용

  • Leveling Curve of Spee
  • Expansion
  • IPR
  • Space Closure
  • Pre-Surgical
  • Optimized Rotation Attachment (G3) on Buccal 4.5 (LR5), Buccal 3.5 (LL5)
  • Optimized Multiplane (G4) on Buccal 1.2 (UR2)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.3 (UR3), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 1.5 (UR5), Buccal 3.4 (LL4)
Courtesy of Dr E. Rothier 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
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Alignment of both arches through derotation
  • Arch form improved
  • All treatment goals were achieved case

총 치료 개월수

  • 17 개월

Number of aligners

  • Maxillary: 44 + 28 = 72
  • Mandibular: 44 + 28 = 72

얼라이너 착용 시간

  • 1주

코멘트

  • A previous expansion of the maxilla was done.
  • After the expansion this case was prepared for orthognatic surgery.
  • Only Invisalign without any other appliance or need for elastics was used for the preparation.
  • Over correction of the posterior crossbite was planned to ensure that we would not have premature contacts in the immediate postoperative period.
  • Between 3.4 and 3.5 we did only 0.3mm IPR to strengthen the closure of spaces.
  •  Small midline deviation was corrected with additional aligners.
  • Tooth 1.7 was extracted because it had no antagonist and the patient did not wish to place an implant in the region of 4.7

보유

  • Maxillary:
  • Mandibular: