Mandibular retrognathia
,
Class II div 1
,
Increased overjet
,
Midline shift
,
Crowding

Mandibular advancement
,
Elastics: Class II in Additional Aligners
,
Distalization
,
Leveling curve of Spee
,
Expansion

치료 정보

  • 연령: 17
  • 성: 여자
  • Invisalign 치료 옵션: Invisalign Teen with MA

진단 요약

  • Class II div 1
  • Increased overjet
  • Mandibular retrognathia
  • Midline shift
  • Crowding

사용

  • Distalization
  • Expansion
  • Leveling Curve of Spee
  • Class II Elastics in Additional Aligners
  • Mandibular advancement
  • Optimized rotation attachment (G3) on Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Power ridge feature (G3) on Buccal 2.1 (UL1)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 3.4 (LL4)
  • Precision wings brackets (MA) on Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
Courtesy of Dr L. De la Torre 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
  • Overjet improved
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • All treatment goals were achieved case

총 치료 개월수

  • 17 개월

Number of aligners

  • Maxillary: 36 + 34 = 70
  • Mandibular: 36 + 13 = 49

얼라이너 착용 시간

  • 1주

코멘트

  • In this case I decided to start with MA in phase I to improve all that we can
  • After Phase I with MA we did a second step with distalization of left maxillar sid, with the support of elastics class II
  • Midline was not corrected because the patient was very satisfied with the end result