安氏 III 类
,
牙弓狭窄
,
后牙反牙合
,
牙弓不对称
,
下颌中线偏移
,
中线移位
,
扭转
,
牙列间隙

扩弓
,
Leveling curve of Spee
,
邻面去釉
,
间隙闭合
,
术前

治疗信息

  • 年龄: 41
  • 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
  • 后牙反牙合
  • 下颌中线偏移
  • 扭转
  • 牙列间隙
  • 牙弓不对称

用于

  •  平整 Spee 曲线
  • 扩弓
  • 邻面去釉
  • 间隙闭合
  • 术前
  • Optimized Rotation Attachment (G3) on Buccal 4.5 (LR5), Buccal 3.5 (LL5)
  • Optimized Multiplane (G4) on Buccal 1.2 (UR2)
  • Optimized Root Control Attachments (G4) on Buccal 1.1 (UR1), Buccal 1.3 (UR3), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized DeepBite Attachments for Anchorage (G5) on Buccal 1.5 (UR5), Buccal 3.4 (LL4)
Courtesy of Dr E. Rothier 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
Download ADF files
初始状态
额外的对齐者

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
  •  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
  • 中线对齐
  • 通过去扭转对齐上下牙弓
  • 已改善牙弓形状
  • 已实现所有治疗目标

总的治疗时间

  • 个月

矫治器数量

  • Maxillary: 44 + 28 = 72
  • Mandibular: 44 + 28 = 72

矫治器配戴时间

  • 1 周

评论

  • A previous expansion of the maxilla was done.
  • After the expansion this case was prepared for orthognatic surgery.
  • Only Invisalign without any other appliance or need for elastics was used for the preparation.
  • Over correction of the posterior crossbite was planned to ensure that we would not have premature contacts in the immediate postoperative period.
  • Between 3.4 and 3.5 we did only 0.3mm IPR to strengthen the closure of spaces.
  •  Small midline deviation was corrected with additional aligners.
  • Tooth 1.7 was extracted because it had no antagonist and the patient did not wish to place an implant in the region of 4.7

保留

  • Maxillary:
  • Mandibular: