安氏 II 类 1 分类
,
深覆盖
,
深覆牙合
,
牙弓狭窄
,
牙弓不对称
,
上颌中线偏移
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转

弹性牵引:安氏 II 类
,
Leveling curve of Spee
,
伸长
,
压低
,
扩弓
,
唇倾

治疗信息

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

诊断概要

  • 安氏 II 类 1 分类关系
  • 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
  • 牙弓不对称

用于

  • 弹性牵引:安氏 II 类
  •  平整 Spee 曲线
  • 扩弓
  • 伸长
  • 压低
  • 唇倾
  • Power Ridge Feature on Buccal 1.1 (UR1)
  • Optimized Rotation Attachment (G3) on Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized Root Control Attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 2.3 (UL3), Buccal 2.4 (UL4)
  • Conventional Bite Ramp on Lingual 1.3 (UR3), Lingual 2.3 (UL3)
  • Pressure Areas (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 3.1 (LL1), Lingual 3.2 (LL2)
Courtesy of Dr M. Pedernera 2018
Award 2019 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
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

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
  • 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

  • 15 个月

矫治器数量

  • Maxillary: 17 + 9 + 10 = 36
  • Mandibular: 18 + 9 + 8 = 35

矫治器配戴时间

  • The first set of aligners were changed every 2 weeks
  • The Additional Aligners were changed every week

评论

  • This case was very challenging for me because the patient wanted not only to improve the crowded teeth but to improve his profile.
  • The main issue was to solve the crowding of the lower teeth and performing intrusion of both the upper and lower incisors.
  • In order to correct the Spee curve some extrusion of the lateral sectors was needed and the conventional bite ramps helped.
  • The patient wore his aligners and elastics the right amount of time
  • Class II elastics full time on the left side and only at night on the right side.

保留

  • Maxillary:
  • Mandibular: