Class II div 2
,
Derin kapanış
,
Dar Ark
,
Orta Hat Kayması
,
Çapraşıklık

Elastikler: Sınıf II
,
Distalizasyon
,
Ektrüzyon
,
İntrüzyon
,
Ekspansiyon
,
Proklinasyon
,
IPR

Yakın Plan Tedavi

We would like to congratulate Dr. Pedernera with winning the 2018 EMEA Peer Review Awards!

Tedavi bilgileri

  • Yaş: 25
  • Cinsiyeti: kadın
  • Invisalign Tedavi Seçenekleri: Full

Tanı özeti

  • Sınıf II bölüm 2 ilişkisi
  • Dar Ark
  • Orta Hat Kayması
  • Derin kapanış
  • Çapraşıklık

Use of:

  • Distalizasyon
  • Elastikler: Sınıf II
  • Spee Eğrisini Düzleştirme
  • Ekspansiyon
  • Ektrüzyon
  • İntrüzyon
  • Proklinasyon
  • IPR
  • Power Ridge Feature on Buccal 3.1 (LL1)
  • Optimized Rotation Attachment (G3) on Buccal 1.4 (UR4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Multi-Tooth Extrusion Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Precision Bite Ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Pressure Areas (G5) on Lingual 4.2 (LR2)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
Courtesy of Dr M. Pedernera 2017
Award 2018 Peer Review Awards

Fotoğraflar

Click to compare enlarged
upper
İlk
lower
right
front
left
Click to compare enlarged
upper
Final
lower
right
front
left
Click to compare enlarged
upper
İlerleme
lower
right
front
left

Radyogramlar

ClinCheck tedavi planı

video anterior
video right-left
video upper-lower
Download ADF files
İlk
ek hizalayıcılar

Tedavi özeti

Elde edilen sonuçlar

  • Sınıf I ilişkisine ulaşıldı
  • Her iki tarafta işlevsel köpekdişi kılavuzu
  • Normal overjet ve overbite’a ulaşıldı
  • Derin kapanış iyileştirildi
  • Orta hatlar çakışık
  • Kesici dişlerin düzgün eksenel inklinasyonu
  • Spee Eğrisi düzeltildi
  • Arklar hizalandı ve koordine edildi
  • Ark biçimi iyileştirildi
  • Estetik gülümseme hattına ulaşıld
  • Vakanın tüm tedavi hedeflerine erişildi
  • Harmonik arklar elde edildi

Ay olarak toplam tedavi süresi

  • 19 ay

Hizalayıcı sayısı

  • Maxillary: 34 + 14 = 48
  • Mandibular: 26 + 14 = 40

Hizalayıcı aşınma zamanı

  • At the start of the treatment every 2 weeks, gradually changed to 1 week

Yorumlar

  • This case was an Advanced case and was a good challenge for me.
  • The main issue was to solve the crowding of the upper teeth and the high position of 1.2, as well correct the sagital problem.
  • My plan was to distalize the upper arch using the 1/2 protocol and moving a maximum of two teeth at the time, with an aesthetic beginning proclining the upper incisors.
  • For increased anchorage I used Class II elastics.
  • Also made expansion of both the upper and lower to improve the buccal corridors due to the narrow arches, at the same time in the first Clincheck I manage to create extrusion of 1.2.
  • In my opinion one of the important things in this case was taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position.
  • This helped to reduce the number of aligners for the first stage.
  • The extraction of the four third molars was done before starting the treatment.
  • A very short phase of additional aligners was necessary to finish the treatment with a beautiful and functional occlusion.
  • The patients cooperation during the treatment was 10 out of 10.