下颌后缩
,
安氏 II 类 1 分类
,
深覆盖
,
牙列间隙

下颌前导功能
,
Elastics: Class II in Additional Aligners
,
Leveling curve of Spee
,
伸长

优秀 治疗方案

Dr T. Lee
Dr T. Lee

Dr. Quote: "Simultaneous tooth alignment and profile change in Class II teenagers can now be achieved by Invisalign Treatment with Mandibular Advancement Appliance. This case shows that suitable case selection with stepwise clincheck planning, close clinical monitoring together with patient’s compliance are the keys to the success of the treatment. "

治疗信息

  • 年龄: 12
  • 性别:
  • Invisalign治疗选项: Invisalign Teen with MA

诊断概要

  • 安氏 II 类 1 分类
  • 深覆盖
  •  下颌后缩
  • 牙列间隙

用于

  • 伸长
  •  平整 Spee 曲线
  • Class II Elastics in Additional Aligners
  • 下颌前导功能
  • Optimized rotation attachment (G3) on Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.3 (LR3), Buccal 3.4 (LL4)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.4 (LR4)
  • Precision wings brackets (MA)
Courtesy of Dr T. Lee 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

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

  • 达到安氏 I 类关系
  •  两侧的功能性尖牙引导
  •  覆盖已改善
  •  显著改善覆盖
  • 中线对齐
  • Curve of Spee leveled
  • 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

  • 15 个月

矫治器数量

  • Maxillary: 32 + 20 = 52
  • Mandibular: 32 + 20 = 52

矫治器配戴时间

  • 1 周

评论

Overjet Reduction from 9mm to 2.5mm by Invisalign Mandibular Advancement Appliance:

  • 1) MA phase with 3 steps advancements - 1st advancement with stage 1-8, 2nd advancement with stage 9-16, 3rd advancement with stage 17-27
  • 2) Transition phase- stage 28-32
  • 3) Additional Aligners for refinement and settle of posterior occlusion with 20 active stage + Class II elastics.

Retention

  • Maxillary:
  • Mandibular: