Sınıf II böl 1
,
Artmış overjet
,
Dar Ark
,
Mandibular orta hat sapması
,
Çapraşıklık
,
Rotasyonlar

Restoratif
,
Leveling curve of Spee
,
Ektrüzyon
,
İntrüzyon
,
Ekspansiyon
,
Retraksiyon
,
IPR
,
İmplantlar

Tedavi bilgileri

  • Yaş: 69
  • Cinsiyeti: kadın
  • Invisalign Tedavi Seçenekleri: Invisalign Full

Tanı özeti

  • Sınıf II böl 1
  • Artmış overjet
  • Dar Ark
  • Mandibular orta hat sapması
  • Çapraşıklık
  • Rotasyonlar

Kullanımı

  • Ekspansiyon
  • Ektrüzyon
  • İntrüzyon
  •  Spee Eğrisini Düzleştirme
  • Retraksiyon
  • IPR
  • Ön Restoratif
  • İmplantlar
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5)
  • Pressure areas (G5) on Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Optimized extrusion attachments for molars (G7+) on Buccal 3.5 (LL5)
Courtesy of Dr R. Loyer 2019

Fotoğraflar

Click to compare enlarged
upper
İlk
lower
right
front
left
Click to compare enlarged
upper
Son
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

Tedavi özeti

Elde edilen sonuçlar

  • Sınıf I ilişkisi korundu
  • Class II relationship maintained
  • Normal overjet ve overbite’a ulaşıldı
  • Overjet’in önemli ölçüde iyileştirilmesi
  • Kesici dişlerin düzgün eksenel inklinasyonu
  • Curve of Spee leveled
  • 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

  • 9 ay

Hizalayıcı sayısı

  • Maxillary: 19
  • Mandibular: 19

Hizalayıcı aşınma zamanı

  • 2 hafta

Yorumlar

  • This patient was formerly treated for her bruxism with the diagnosis of Cervico-Cranio-Mandibular Disorder
  • The final position of her mandibular bone was stable
  • We did expansion and bimaxillary arch correction
  • We created more lingual torque to superior incisors, vestibular torque to inferior incisors, intruded inferior incisors to improve the curve of Spee
  • We improved the superior and inferior canine interrelationship in order to reconstruct canine cusps in a later stage to obtain canine guidance
  • Our goal was to smoothen the sulcus of the inferior lip and chin and to close the nasal-labial angle to improve the patient's profile.
  • We wanted to obtain a right-side Class I dental relationship, but the patient was satisfied and didn't want to continue with Additional Aligners
  • She decided that for her age and condition, the initial treatment including the posterior canine cusp reconstruction was really good. The treatment surpassed her initial expectations

Alıkoyma

  • Maxillary:
  • Mandibular: