安氏 I 类
,
前牙反牙合
,
牙弓狭窄
,
牙列拥挤
,
扭转

近中移动
,
Leveling curve of Spee
,
伸长
,
压低
,
扩弓
,
唇倾
,
邻面去釉

治疗信息

  • 年龄: 32
  • 性别: 女
  • Invisalign治疗选项: Invisalign Full

诊断概要

  • 安氏 I 类
  • 前牙反牙合
  • 牙弓狭窄
  • 牙列拥挤
  • 扭转

用于

  • 近中移动
  • 扩弓
  • 伸长
  • 压低
  •  平整 Spee 曲线
  • 唇倾
  • 邻面去釉
  • Optimized rotation attachment (G3) on Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 4.4 (LR4)
  • Optimized extrusion attachment (G3) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
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
附加矫治器

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
  •  前牙反牙合已矫正
  • 中线对齐
  • Curve of Spee leveled
  • 已对齐并协调牙弓
  • 已改善牙弓形状
  • 已实现所有治疗目标

总的治疗时间

  • 10 个月

矫治器数量

  • Maxillary: 40 + 16 = 56
  • Mandibular: 37 + 16 = 53

矫治器配戴时间

  • 1 周

评论

  • The main concern was to solve the crowding of lower and upper teeth
  • Important was to prevent the lower incisors from colliding against the upper incisors during the treatment
  • Treatment plan was to expand and a mild protrusion of both arches to improve the narrow arches
  • Due to the Mandibular excess of Bolton index IPR was performed on both arches
  • We decided to use double retainers (fixed and Vivera) to maintain the final results