安氏 II 类 2 分类
,
深覆盖
,
 下颌后缩
,
深覆牙合
,
牙弓狭窄
,
牙弓不对称
,
下颌中线偏移
,
牙列拥挤
,
扭转

弹性牵引:安氏 II 类
,
远中移动
,
Leveling curve of Spee
,
扩弓
,
内收
,
邻面去釉

治疗信息

  • 年龄: 18
  • 性别:
  • Invisalign治疗选项: Invisalign Full

诊断概要

  • 安氏 II 类 2 分类
  • 深覆盖
  •  下颌后缩
  • 深覆牙合
  • 牙弓狭窄
  • 牙弓不对称
  • 下颌中线偏移
  • 牙列拥挤
  • 扭转

用于

  • 远中移动
  • 扩弓
  •  平整 Spee 曲线
  • 内收
  • 邻面去釉
  • 弹性牵引:安氏 II 类
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 3.3 (LL3)
  • Power ridge feature (G3) on Buccal 2.2 (UL2), Buccal 4.2 (LR2)
  • Optimized root control attachments (G4) on Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.4 (LR4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.5 (UR5), Buccal 3.4 (LL4)
  • 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 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
Courtesy of Dr M. Simonetta 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

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
  •  显著改善覆牙合
  •  显著改善覆盖
  • 中线对齐
  • 切牙达到合适的轴向倾斜
  • Curve of Spee leveled
  • 已对齐并协调牙弓
  • 通过去扭转对齐上下牙弓
  • 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

  • 21 个月

矫治器数量

  • Maxillary: 33 + 22 + 16 = 71
  • Mandibular: 18 + 15 + 16 = 49

矫治器配戴时间

  • Initial 10 days, refinements 7 days

评论

  • Although the patient had a severe class II and was at the end of her growth, she refused to extract or perform surgery
  • All treatment was performed to eliminate occlusal interference, such as deep bite and contraction of the upper arch, then opening the bite and expanding the upper arch.