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

远中移动
,
Elastics: Class II in Additional Aligners
,
Leveling curve of Spee
,
弹性牵引:垂直面
,
伸长
,
压低
,
扩弓
,
内收
,
邻面去釉

治疗信息

  • 年龄: 38
  • 性别:
  • Invisalign治疗选项: Invisalign Comprehensive

诊断概要

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

用于

  • 远中移动
  • 扩弓
  • 伸长
  • 压低
  •  平整 Spee 曲线
  • 内收
  • 邻面去釉
  • 弹性牵引:垂直面
  • Elastics: Class II in Additional Aligners
  • 优化扭转附件 (G3)
  • 优化伸长附件 (G3)
  • Power Ridge 功能 (G3)
  • 优化多平面功能件 (G4)
  • 优化控根附件 (G4)
  • 多齿伸长附件 (G4)
  • 激活优化深覆牙合附件以实现前磨牙伸长 (G5)
  • 用于提供支抗的优化深覆牙合附件 (G5)
  • First premolar extraction solution for maximum anchorage (G6)
  • Optimized support attachment on lateral incisors
  • Optimized expansion support attachment
  • Optimized retention attachment
Courtesy of Dr D. Aizenbud 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

  •  保持安氏 I 类关系
  •  前牙反牙合已矫正
  • 实现正常覆盖和覆牙合
  •  深覆牙合已改善
  •  覆盖已改善
  •  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
  • 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

  • 24个月

矫治器数量

  • Maxillary: 36 + 35 + 17 = 88
  • Mandibular: 36 + 35 + 17 = 88

矫治器配戴时间

  • 1 周

评论

  • We expanded the upper and lower arch
  • Maxillary and mandibular incisors were retracted by using IPR and arch shape changes, along with incisors' lingual root torque
  • Dental crowding was alleviated by IPR and arch shape changes
  • Over jet was reduced by IPR and the use of Class II elastics
  • Deep bite was reduced by simultaneously extrusion of maxillary and mandibular molars and premolars and anterior teeth
  • Solid occlusion was achieved by vertical elastics
  • Periodontal recession was solved by lower incisors retraction and lingual root torque

保留

  • Maxillary:
  • Mandibular: