安氏 III 类
,
前牙反牙合
,
开牙合
,
牙弓狭窄
,
下颌中线偏移
,
牙列拥挤
,
扭转

弹性牵引:安氏 III 类
,
Leveling curve of Spee
,
伸长
,
压低
,
扩弓
,
内收
,
唇倾
,
邻面去釉

治疗信息

  • 年龄: 41
  • 性别:
  • Invisalign治疗选项: Invisalign Lite

诊断概要

  • 安氏 III 类
  • 前牙反牙合
  • 开牙合
  • 牙弓狭窄
  • 牙弓不对称
  • 下颌中线偏移
  • 牙列拥挤
  • 扭转

用于

  • 扩弓
  • 伸长
  • 压低
  •  平整 Spee 曲线
  • 唇倾
  • 内收
  • 邻面去釉
  • 弹性牵引:安氏 III 类
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.4 (UL4)
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 3.1 (LL1)
  • Optimized root control attachments (G4) on Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 3.5 (LL5)
Courtesy of Dr K. Sung Chung 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

  • 达到安氏 I 类关系
  •  两侧的功能性尖牙引导
  •  前牙反牙合已矫正
  • 后牙反牙合已矫正
  • 实现正常覆盖和覆牙合
  • 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
  • 实现牙弓协调

总的治疗时间

  • 8个月

矫治器数量

  • Maxillary: 14 + 14 = 28
  • Mandibular: 14 + 14 = 28

矫治器配戴时间

  • Initial set of aligners changed at 2 weeks interval for 1 month, then changed at 7 days interval after corticotomy was done until the end of treatment

评论

  • Anterior cross bites was corrected by retroclination of lower incisors and proclination of upper lateral incisors
  • Crowding was resolved with expansion and IPR
  • Class III relationship was corrected with Class III elastics to a Class I relationship
  • Over bite was improved by extrusion of incisors
  • Bolton Excess in lower arch was improved by performing IPR.
  • Corticotomy was performed using piezotome between premolars to premolars in both arches.
  • Aligners changed at weekly interval after corticotomy was done