Class III
,
Anterior Crossbite
,
Openbite
,
Narrow arches
,
Mandibular midline deviation
,
Crowding
,
Rotations

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

치료 정보

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

진단 요약

  • Class III
  • Anterior Crossbite
  • Openbite
  • Narrow arches
  • Asymmetric arches
  • Mandibular midline deviation
  • Crowding
  • Rotations

사용

  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • Retraction
  • IPR
  • Elastics: Class III
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.4 (UL4)
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 3.1 (LL1)
  • Optimized root control attachments (G4) on Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 3.5 (LL5)
Courtesy of Dr K. Sung Chung 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
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Alignment of both arches through derotation
  • Arch form improved
  • Harmonic arches were achieved

총 치료 개월수

  • 8개월

Number of aligners

  • Maxillary: 14 + 14 = 28
  • Mandibular: 14 + 14 = 28

얼라이너 착용 시간

  • Initial set of aligners changed at 2 weeks interval for 1 month, then changed at 7 days interval after corticotomy was done until the end of treatment

코멘트

  • Anterior cross bites was corrected by retroclination of lower incisors and proclination of upper lateral incisors
  • Crowding was resolved with expansion and IPR
  • Class III relationship was corrected with Class III elastics to a Class I relationship
  • Over bite was improved by extrusion of incisors
  • Bolton Excess in lower arch was improved by performing IPR.
  • Corticotomy was performed using piezotome between premolars to premolars in both arches.
  • Aligners changed at weekly interval after corticotomy was done