Class II div 2
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Crowding

Mandibular advancement
,
Elastics: Class II in Additional Aligners
,
Intrusion
,
Expansion
,
IPR

Teen case of the month

Dr. M. Makino
Dr. M. Makino

We would like to thank Dr. Makino for submitting this Mandibular Advancement case that shows a well thought out treatment planning with an excellent result.

Dr. Quote: " With the Invisalign system  I find that patient's life management is the most important. I am grateful for the patients who always use their aligners in good compliance."

치료 정보

  • 연령: 14
  • 성: 남성
  • Invisalign 치료 옵션: Invisalign Teen with MA

진단 요약

  • Class II div 2
  • Mandibular retrognathia
  • Deepbite
  • Narrow arches
  • Crowding

사용

  • Expansion
  • Intrusion
  • IPR
  • Class II Elastics in Additional Aligners
  • Mandibular advancement
  • Optimized extrusion attachment (G3) on Buccal 2.2 (UL2)
  • Power ridge feature (G3) on Buccal 1.1 (UR1)
  • Optimized root control attachments (G4) on Buccal 3.4 (LL4)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.2 (UL2)
  • Precision wings (MA) on Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 2.7 (UL7), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Buccal 3.5 (LL5), Buccal 3.6 (LL6)
Courtesy of Dr. M. Makino 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
  • Posterior crossbite corrected
  • Normal  overjet and overbite achieved
  • Deepbite improved
  • Overjet improved
  • Midlines coincident
  • Proper axial inclination of incisors
  • Curve of Spee leveled
  • Arches aligned and coordinated
  • Arch form improved
  • Aesthetic smile line was achieved
  • All treatment goals were achieved case
  • Harmonic arches were achieved

총 치료 개월수

  • 16 개월

Number of aligners

  • Maxillary: 42 + 24 = 66
  • Mandibular: 42 + 24 = 66

얼라이너 착용 시간

  • 1주

코멘트

  • Sufficient mandibular forward propulsion achieved
  • After the MA phase, we used vertical elastics to achieve a good posterior occlusal

보유

  • Maxillary: Hawley
  • Mandibular: Fixed/Bonded