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

远中移动
,
弹性牵引:垂直面
,
伸长
,
扩弓
,
内收

治疗信息

  • 年龄: 15
  • 性别:
  • Invisalign治疗选项: Teen

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
  • 深覆盖
  • 开牙合
  • 牙列拥挤
  • 扭转

用于

  • 远中移动
  • 伸长
  • 平整 Spee 曲线
  • 扩弓
  • 弹性牵引:垂直面
  • 内收
  • Vertical triangular elastics for final adjustment and occlusion of UR3,UL3 (p0lease check the progress photos )
Courtesy of Dr. K. Malekian 2016
Award 2017 Peer Review Award

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
进展
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
  •  覆盖已改善
  •  显著改善覆盖
  • 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

  • 51 months

矫治器数量

  • Maxillary: 50 + 52 + 20 + 16 = 138
  • Mandibular: 50 + 25 + 25 + 16 = 116

评论

  • Treatment aligner change every 14 days. Refinement aligner change every 7 days
  • This is probably one of the most difficult and challenging treatments I have done. The patient father is a doctor and before starting treatment we talked that this treatment required:
  • 1.Extraction of upper premolars in order to align highly erupted upper canines.We wanted to avoid extractions since it was not a good solution for the final profile and upper lip of the patient.
    2.The 5mm anterior open bite required surgery and the father obviously wanted to avoid the surgery for his daughter.
  • The treatment was long but the results are excellent regarding the starting point. I used all CC strategies possible in order to achieve this result (Upper Sequential distalisation of 4-5mm of UR7,UL7).The patient compliance during the total treatment time has been excellent.

保留

  • Maxillary: Vivera
  • Mandibular: Vivera