安氏 III 类
,
前牙反牙合
,
牙弓狭窄
,
后牙反牙合
,
中线移位
,
牙列拥挤
,
扭转

弹性牵引:安氏 III 类
,
远中移动
,
压低
,
扩弓
,
唇倾
,
邻面去釉

治疗信息

  • 年龄: 33
  • 性别:
  • Invisalign治疗选项: Full

诊断概要

  •  安氏 III 类关系
  • 牙弓狭窄
  • 中线移位
  • 前牙反牙合
  • 后牙反牙合
  • 下颌中线偏移
  • 上颌中线偏移
  • 牙列拥挤
  • 扭转
  • 牙弓不对称

用于

  • 远中移动
  • 压低
  • 平整 Spee 曲线
  • 扩弓
  • 唇倾
  • 邻面去釉
  • 弹性牵引:安氏 III 类
  • Optimized Rotation Attachment (G3) on Buccal 2.3 (UL3)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1)
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
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
  •  前牙反牙合已矫正
  • 后牙反牙合已矫正
  • 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

  • 24个月

矫治器数量

  • Maxillary: 40 + 17 + 14 = 71
  • Mandibular: 40 + 17 + 24 = 81

评论

  • Aligner wear time: 2-weeks
  • Other results achieved: 1. With Invisalign Technique we have achieved Full Class I molar and canine bilateral with normal overjet and overbite achieved WITH A VERY CONSERVATIVE ALTERNATIVE : No surgery,no fixed appliance , No extraction,,,, just " Sequential Lower Arch Distalisation ". Lower wisdom teeth and full day compliance Aligner + Class III elastics is requiered2.Upper arch maxilary expansión
    3.Root Control attachment UR1 in order to correct tipping teeth UR1.
    4.Clincheck Esthetic Start strategy : Aligners L1 to L7 we achive partial alignment of lower anterior teeth in order to motivate the patient with short term esthetic results before starting lower arch sequential lower molar-premolar-canine and finally lower incisor distalisation.
    5.Upper arch Crowding and lateral Posterior Crossbite( left side )was resolved with Expansion. No uper IPR was requiered.
    6.Anterior Cross Bite was resolved with a combination of : Lower arch distalisation ( principal space achiever) + IPR 0.5mm lower anterior ( incisors and canines) + Upper incisor proclination.
    7.High Patient Compliance is required. Full day 22 hours aligner+class III elastics.
    8.Treatment aligner change every 14 days.
    9.Refinement aligner change every 7 days.

保留

  • Maxillary: Vivera
  • Mandibular: Vivera