安氏 I 类
,
深覆牙合
,
牙弓狭窄
,
中线移位
,
牙列拥挤

第 I 阶段治疗/阻断
,
弹性牵引:安氏 II 类
,
压低
,
扩弓
,
唇倾

治疗信息

  • 年龄: 8
  • 性别: 男性
  • Invisalign治疗选项: Invisalign First

诊断概要

  • 第 I 阶段治疗/阻断
  • 安氏 I 类
  • 深覆牙合
  • 牙弓狭窄
  • 中线移位
  • 牙列拥挤

用于

  • 扩弓
  • 压低
  • 唇倾
  • 弹性牵引:安氏 II 类
  • Optimized retention attachment (Phase 1) on Buccal 3.5 (LL5)
  • Optimized expansion support attachment (Phase 1) on Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Buccal 3.6 (LL6), Lingual 3.5 (LL5), Lingual 3.6 (LL6)
Courtesy of Dr T. Gruelle 2019

相片

Click to compare enlarged
upper
初始状态
lower
right
front
left
Click to compare enlarged
upper
Final of Phase I
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
  • 实现正常覆盖和覆牙合
  • 中线对齐
  • 已对齐并协调牙弓
  • 已改善牙弓形状

总的治疗时间

  • 个月

矫治器数量

  • Maxillary: 30 + 26 + 20 = 76
  • Mandibular: 30 + 26 + 20 = 76

矫治器配戴时间

  • 5 days

评论

  • Invisalign first with molars expanded first then C's, D's and E's
  • Space created then refined to capture the UR2 which came in ectopically
  • The UL2 came in slower and we will refine if need be to capture and align it
  • When the delivery of the initial aligners was to occur, the LLB had not exfoliated. I placed an elastic around it and it fell out in 2 weeks.
  • The patient then began with aligner 3 on the lower and upper and great expansion in the lower arch was achieved