Class II div 2
,
Increased overjet
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

Elastics: Class II
,
Distalization
,
Leveling curve of Spee
,
Expansion
,
Retraction
,
IPR

치료 정보

  • 연령: 18
  • 성: 여자
  • Invisalign 치료 옵션: Invisalign Full

진단 요약

  • Class II div 2
  • Increased overjet
  • Mandibular retrognathia
  • Deepbite
  • Narrow arches
  • Asymmetric arches
  • Mandibular midline deviation
  • Crowding
  • Rotations

사용

  • Distalization
  • Expansion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Elastics: Class II
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 3.3 (LL3)
  • Power ridge feature (G3) on Buccal 2.2 (UL2), Buccal 4.2 (LR2)
  • Optimized root control attachments (G4) on Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.4 (LR4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.5 (UR5), Buccal 3.4 (LL4)
  • 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 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
Courtesy of Dr M. Simonetta 2019

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
  • Significant improvement of overbite
  • Significant improvement of overjet
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • 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

  • 21 개월

Number of aligners

  • Maxillary: 33 + 22 + 16 = 71
  • Mandibular: 18 + 15 + 16 = 49

얼라이너 착용 시간

  • Initial 10 days, refinements 7 days

코멘트

  • Although the patient had a severe class II and was at the end of her growth, she refused to extract or perform surgery
  • All treatment was performed to eliminate occlusal interference, such as deep bite and contraction of the upper arch, then opening the bite and expanding the upper arch.