安氏 I 类
,
开牙合
,
牙弓狭窄
,
牙弓不对称
,
上颌中线偏移
,
下颌中线偏移
,
牙列拥挤

伸长
,
压低
,
扩弓
,
唇倾
,
邻面去釉

治疗信息

  • 年龄: 39
  • 性别:
  • Invisalign治疗选项: Lite

诊断概要

  • I 类关系
  • 牙弓狭窄
  • 下颌中线偏移
  • 上颌中线偏移
  • 开牙合
  • 牙列拥挤
  • 牙弓不对称

用于

  • 扩弓
  • 伸长
  • 压低
  • 唇倾
  • 邻面去釉
  • Optimized Rotation Attachment (G3) on Buccal 2.3 (UL3)
  • Optimized Extrusion Attachment (G3) on Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized Multiplane Feature (G4) on Buccal 2.2 (UL2)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
Courtesy of Dr. M. Pedernera 2017

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
Click to compare enlarged
upper
进展
lower
right
front
left

X光片

ClinCheck治疗计划

video anterior
video right-left
video upper-lower
Download ADF files
初始状态
附加矫治器

治疗总结

实现的结果

  • 达到安氏 I 类关系
  •  两侧的功能性尖牙引导
  • 实现正常覆盖和覆牙合
  • 中线对齐
  •  Spee 曲线平整
  • 已对齐并协调牙弓
  • 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

  • 9 个月

矫治器数量

  • Maxillary: 14 + 12 = 26
  • Mandibular: 14 + 12 = 26

矫治器配戴时间

  • 2 周

评论

  • The anterior open bite, anterior proclination combined with narrow arches and crowding was a tough basically because not only the alignement and expansión could make the anterior open bite to get worse, I combined a mild expansion on the upper and lower arches, with anterior and posterior IPR in the lower arch to be able to solve the problem of the crowding without the need of proclination.
  • The first set of aligners were made after taking PVS impressions and the following sets after scanning with iTero Element.
    The first set of aligners were changed every 2 weeks but in the refinement stage the patient was asked to do it every week.
  • The 1.2 and 2.2 teeth were reshaped wearing just a small part of the incisal edge to improve their shape