Class II div 2
,
Mandibular retrognathia
,
Deepbite
,
Narrow arches
,
Posterior crossbite
,
Asymmetric arches
,
Mandibular midline deviation
,
Midline shift
,
Crowding
,
Rotations

Elastics: Class II
,
Distalization
,
Mesialization
,
Leveling curve of Spee
,
Intrusion
,
Expansion
,
Proclination
,
IPR
,
TADs

치료 정보

  • 연령: 15
  • 성: 남성
  • Invisalign 치료 옵션: Invisalign Full

진단 요약

  • Class II div 2
  • Mandibular retrognathia
  • Deepbite
  • Narrow arches
  • Posterior crossbite
  • Asymmetric arches
  • Mandibular midline deviation
  • Midline shift
  • Crowding
  • Rotations

사용

  • Distalization
  • Mesialization
  • Expansion
  • Intrusion
  • Leveling Curve of Spee
  • Proclination
  • IPR
  • Elastics: Class II
  • TADs
  • Optimized rotation attachment (G3) on Buccal 2.3 (UL3), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1), Buccal 4.1 (LR1), Buccal 3.1 (LL1)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 4.5 (LR5), Buccal 3.3 (LL3)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.4 (LR4), Buccal 3.4 (LL4)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
Courtesy of Dr. H. Ji 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
  • 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

  • 17 개월

Number of aligners

  • Maxillary: 35 + 27 = 62
  • Mandibular: 35 + 27 = 62

얼라이너 착용 시간

  • 1주

코멘트

  • Patient with a severe deep overbite which caused attrition of the lower incisor
  • To correct buccal crossbite of 1.7 and 2.7, we extracted the 1.8 and 2.8 before the start of orthodontic treatment
  • During orthodontic, we saw late mandibular growth

보유

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded