Sınıf III, Posterior Çapraz Kapanış, Anterior Çapraz Kapanış, Kenardan kenara kapanış, Deep bite, Dar Ark, Asimetrik arklar, Maksiller orta hat sapması, Mandibular orta hat sapması, Orta Hat Kayması, Çapraşıklık, Rotasyonlar
Distalizasyon
, Spee Eğrisini Düzleştirme
, Ektrüzyon
, İntrüzyon
, Ekspansiyon
, Proklinasyon
, IPR
, Elastikler: Sınıf III
Courtesy of Dr K. Malekian,
2018
2019 Peer Review Award
Treatment Summary
Patient Information
- Age: 30
- Gender: male
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 21 ay
Hizalayıcı sayısı
- Maxillary: 32 + 33 + 20 = 85
- Mandibulary: 32 + 33 + 20 = 85
Aligner Wear time
- 10 day aligner change for treatment aligner. Refinement aligner change range between 7-5 days.
Results achieved
- Sınıf I ilişkisine ulaşıldı
- Sınıf I ilişkisi korundu
- Her iki tarafta işlevsel köpekdişi kılavuzu
- Anterior çapraz kapanış düzeltildi
- Posterior çapraz kapanış düzeltildi
- Normal overjet and overbite achieved
- Derin kapanış iyileştirildi
- Overjet iyileştirildi
- Significant improvement ofoverbite
- Overjet’in önemli ölçüde iyileştirilmesi
- Orta hatlar çakışık
- Kesici dişlerin düzgün eksenel inklinasyonu
- Spee Eğrisi düzeltildi
- Arklar hizalandı ve koordine edildi
- Derotasyonla her iki arkın hizalanması
- Ark biçimi iyileştirildi
- Aesthetic smile linewas achieved
- Vakanın tüm tedavi hedeflerine erişildi
- Harmonik arklar elde edildi
Yorumlar
- Determine space selection was the key factor to resolve the severe crowding in the upper and lower arch
- Staging was also a key factor: We started with high expansion of upper molars and premolars and when gained enough space we continued with arch development and retraction to extrude upper canines
- IPR was planned at upper and lower premolars
- Carefull IPR tracking with distalization movement of upper and lower premolars allowed space in order to align high angle rotation of canines 2.3,3.3 and 4.3 .
- Conventional bite ramps at the buccal surface of lower four incisors were used in order to correct the deepbite
- Class III elastics were used in order to improve the anterior/posterior relationship and turn Class III canine and molar into full class I molar and canine.
- Proclination of upper laterals 1.2 and 2.2 in order to correct the anterior crossbite.
- Arch coordination tool at clincheck Pro was very helpfull.
- The maxilla and mandible arch form at stage U0-L0 were very asymmetric and required arch form coordination.
- Lower incisor proclination and simultaneously lower canines were retracted and distalized
396 
390 
