Class III
,
Anterior Crossbite
,
Posterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Pre-restorative

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

치료 정보

  • 연령: 48
  • 성: 여자
  • Invisalign 치료 옵션: Invisalign Full

진단 요약

  • Class III
  • Anterior Crossbite
  • Posterior crossbite
  • Asymmetric arches
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Pre-restorative

사용

  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Elastics: Class II
  • Elastics: Class III
  • Pre-restorative
  • Anterior Cross and Posterior Triangle
  • Optimized rotation attachment (G3)
  • Optimized Extrusion Attachment (G3)
  • Power ridge feature (G3)
  • Optimized root control attachments (G4)
  • Multi-tooth extrusion attachments (G4)
Courtesy of Dr L. Ching Fan Li 2019

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 I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

총 치료 개월수

  • 20 개월

Number of aligners

  • Maxillary: 46 + 17 + 22 = 85
  • Mandibular: 46 + 17 + 22 = 85

얼라이너 착용 시간

  • Initially every 10 days, weekly from MCC

코멘트

  • The premature contact between anterior teeth leading mandibular displacement was corrected by proclination of upper anterior teeth and upper and lower arch expansion
  • Different patterns of elastics were used throughout the treatment to help arch coordination
  • Extrusion with attachments worked great with leveling of curve of Spee and settling the bite
  • Periodontal condition was maintained
  • Root canal treatment was completed on the upper left canine (23).
  • Prior to final refinement we did composite build up of upper anterior teeth after correction of the anterior crossbite