安氏 I 类
,
安氏 III 类
,
深覆盖
,
深覆牙合
,
牙弓狭窄
,
中线移位
,
牙列拥挤
,
扭转

弹性牵引:安氏 III 类
,
压低
,
扩弓
,
邻面去釉

治疗信息

  • 年龄: 32
  • 性别: 男性
  • Invisalign治疗选项: Full

诊断概要

  • I 类关系
  •  安氏 III 类关系
  • 牙弓狭窄
  • 中线移位
  • 下颌中线偏移
  • 上颌中线偏移
  • 深覆牙合
  • 深覆盖
  • 牙列拥挤
  • 扭转

用于

  • 压低
  • 平整 Spee 曲线
  • 扩弓
  • 邻面去釉
  • 弹性牵引:安氏 III 类
  • Conventional Bite Ramp on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
Courtesy of Dr. K. Malekian 2016

相片

Click to compare enlarged
upper
初始状态
lower
right
front
left
Click to compare enlarged
upper
治疗后
lower
right
front
left

X光片

ClinCheck治疗计划

video anterior
video right-left
video upper-lower

治疗总结

实现的结果

  • 达到安氏 I 类关系
  •  保持安氏 I 类关系
  •  两侧的功能性尖牙引导
  • 实现正常覆盖和覆牙合
  •  深覆牙合已改善
  •  覆盖已改善
  •  显著改善覆牙合
  • 中线对齐
  • 切牙达到合适的轴向倾斜
  •  Spee 曲线平整
  • 已对齐并协调牙弓
  • 通过去扭转对齐上下牙弓
  • 已改善牙弓形状
  • 已获得美观的微笑线 
  • 已实现所有治疗目标
  • 实现牙弓协调

总的治疗时间

  • Start date 10-25-2011
  • 27 个月

矫治器数量

  • Maxillary: 45 + 10 + 11 = 66
  • Mandibular: 45 + 10 + 11 = 66

评论

  • Staging Strategy : Since Teeth UR1and UR2 had a lack of space ( 45 degrees rotaion and 3mm overlap both tooth UR1 and UR2) I planned with my technitian to start CC at U1 to U5 Upper posterior Expansion and NOT TO MOVE TOOTH UR1,UR2 FROM U1 TO U5.AT STAGE U5 we have achieved some space with expansión as can be checked at the Clincheck and now we can start to rotate and align teeth.
  • The most difficult part of these treatments are both Clincheck planning and IPR and attachment tracking.It requieres a close tracking of the orthodontist.
  • Conventional Lingual bite ramps at lingual of UR1,UR2,UL1,UL2 for Upper anterior intrusión. Overcorrection of the Deep Bite and also overcorrection of the High tipping angle of UR1,LR2 is required.
  • No proclination of upper incisors was planned due to the profile and upper lip.
  • Simultaneous Posterior Teeth Expansion and Torque was planned at Clincheck.
  • Rotation of UR2,UR1 was planned at normal velocity and simultaneous Tipping movement was done at UR1,UR2 at slow velocity.
  • Treatment aligners change every 14 days.
  • Refinement aligner change every 7 days.

保留

  • Maxillary: Vivera
  • Mandibular: Vivera