Impacted canines
,
Class II div 1
,
Increased overjet
,
Deepbite
,
Narrow arches
,
Asymmetric arches
,
Maxillary midline deviation
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Elastics: Class II in Additional Aligners
,
Distalization
,
Leveling curve of Spee
,
Extrusion
,
Intrusion
,
Expansion
,
Retraction
,
IPR

치료 정보

  • 연령: 12
  • 성: 남성
  • Invisalign 치료 옵션: Invisalign Teen

진단 요약

  • Class II div 1
  • Impacted canines
  • Increased overjet
  • Deepbite
  • Narrow arches
  • Asymmetric arches
  • Maxillary midline deviation
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations

사용

  • Distalization
  • Expansion
  • Extrusion
  • Intrusion
  • Leveling Curve of Spee
  • Retraction
  • IPR
  • Elastics: Class II
  • Class II Elastics in Additional Aligners
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 2.4 (UL4)
  • Optimized extrusion attachment (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Power ridge feature (G3) on Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Pressure areas (G5) on Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized extrusion attachments for molars (G7+) on Buccal 3.4 (LL4)
Courtesy of Dr. S. Chieh Lin 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
  • Deepbite improved
  • Overjet improved
  • 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

  • 14개월

Number of aligners

  • Maxillary: 44 + 15 = 59
  • Mandibular: 26 + 15 = 41

얼라이너 착용 시간

  • 1주

코멘트

  • This is a Class II div I severe crowding case with large overjet and deep bite
  • Upper dental midline shift to the right side due to 1.3 impacted canine with space deficiency
  • Sequential distalization in upper arch to correct Class II to Class I
  • Expansion and IPR to gain space to prevent proclination
  • We created space through expansion and IPR in the lower arch
  • We improved the alignment of the teeth and the patient's smile and profile
  • Vivera retainers will be used for retention

보유

  • Maxillary:
  • Mandibular: