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

下颌前导功能
,
Pre Mandibular Advancement Phase
,
扩弓
,
唇倾
,
邻面去釉

治疗信息

  • 年龄: 17
  • 性别: 男性
  • Invisalign治疗选项: Invisalign Teen with MA

诊断概要

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

用于

  • 扩弓
  • 唇倾
  • 邻面去釉
  • Class II Elastics in Additional Aligners
  • Pre Mandibular Advancement Phase
  • 下颌前导功能
  • Optimized rotation attachment (G3) on Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 2.2 (UL2)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 4.4 (LR4)
  • Precision wings (MA)
Courtesy of Dr M. Garcia Escribano Perez 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
  •  深覆牙合已改善
  • 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 
  • 实现牙弓协调

总的治疗时间

  • 22개월

矫治器数量

  • Maxillary: 40 + 18 + 24 = 82
  • Mandibular: 40 + 18 + 24 = 82

矫治器配戴时间

  • 1 周

评论

  • The first phase was completed using the Invisalign with Mandibular Advancement feature
  • Two additional aligner orderes were utilized to close down the posterior open bite, virtual jump with elastics and to coordinate arches
  • A request for alignment, arch coordination and intercuspation of occlusion was made to the technician to seek final result.

Retention

  • Maxillary:
  • Mandibular: