安氏 I 类
,
深覆牙合
,
牙弓狭窄
,
牙列拥挤
,
扭转

Leveling curve of Spee
,
伸长
,
压低
,
扩弓
,
唇倾

治疗信息

  • 年龄: 13
  • 性别: 男性
  • Invisalign治疗选项: Invisalign Teen

诊断概要

  • 安氏 I 类
  • 深覆牙合
  • 牙弓狭窄
  • 牙列拥挤
  • 扭转

用于

  • 扩弓
  • 伸长
  • 压低
  •  平整 Spee 曲线
  • 唇倾
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized multiplane (G4) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 3.4 (LL4)
  • Optimized deepbite attachments activated for premolar extrusion (G5) on Buccal 1.5 (UR5), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 2.4 (UL4)
  • Optimized support attachment (G7) on Buccal 1.2 (UR2)
Courtesy of Dr M. Pedernera 2019

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

治疗总结

实现的结果

  •  保持安氏 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
  • Curve of Spee leveled
  • 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

总的治疗时间

  • 13 个月

矫治器数量

  • Maxillary: 44 + 24 + 13 = 81
  • Mandibular: 44 + 24 + 13 = 81

矫治器配戴时间

  • 1 周

评论

  • Treatment plan was to expand both arches to improve the narrow arches
  • Procline the upper and lower incisors
  • The overbite was improved by the virtual intrusion due to proclination of the anterior teeth
  • The most challenging issue to be solved was the rotation of 4.5 that had to be rotated more than 52 degrees
  • I planned to do this rotation with the help of a button placed on lingual of 4.6 and lingual of 4.5 which was very efficient
  • In my opinion what was important in this case is 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