安氏 II 类 2 分类
,
深覆牙合
,
牙弓狭窄
,
中线移位
,
牙列拥挤

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

优秀 治疗方案

We would like to congratulate Dr. Pedernera with winning the 2018 EMEA Peer Review Awards!

治疗信息

  • 年龄: 25
  • 性别:
  • Invisalign治疗选项: Full

诊断概要

  • 安氏 II 类 2 分类关系
  • 牙弓狭窄
  • 中线移位
  • 深覆牙合
  • 牙列拥挤

用于

  • 远中移动
  • 弹性牵引:安氏 II 类
  • 平整 Spee 曲线
  • 扩弓
  • 伸长
  • 压低
  • 唇倾
  • 邻面去釉
  • Power Ridge Feature on Buccal 3.1 (LL1)
  • Optimized Rotation Attachment (G3) on Buccal 1.4 (UR4), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Multi-Tooth Extrusion Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Precision Bite Ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Pressure Areas (G5) on Lingual 4.2 (LR2)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
Courtesy of Dr M. Pedernera 2017
Award 2018 Peer Review Awards

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
  •  深覆牙合已改善
  • 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
  • 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

  • 19 个月

矫治器数量

  • Maxillary: 34 + 14 = 48
  • Mandibular: 26 + 14 = 40

矫治器配戴时间

  • At the start of the treatment every 2 weeks, gradually changed to 1 week

评论

  • This case was an Advanced case and was a good challenge for me.
  • The main issue was to solve the crowding of the upper teeth and the high position of 1.2, as well correct the sagital problem.
  • My plan was to distalize the upper arch using the 1/2 protocol and moving a maximum of two teeth at the time, with an aesthetic beginning proclining the upper incisors.
  • For increased anchorage I used Class II elastics.
  • Also made expansion of both the upper and lower to improve the buccal corridors due to the narrow arches, at the same time in the first Clincheck I manage to create extrusion of 1.2.
  • In my opinion one of the important things in this case was taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position.
  • This helped to reduce the number of aligners for the first stage.
  • The extraction of the four third molars was done before starting the treatment.
  • A very short phase of additional aligners was necessary to finish the treatment with a beautiful and functional occlusion.
  • The patients cooperation during the treatment was 10 out of 10.