安氏 II 类 1 分类
,
深覆盖
,
开牙合
,
牙弓狭窄
,
后牙反牙合
,
上颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转

下颌前导功能
,
扩弓
,
唇倾
,
第 I 阶段治疗/阻断

治疗信息

  • 年龄: 9
  • 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
  • 开牙合
  • 牙弓狭窄
  • 后牙反牙合
  • 上颌中线偏移
  • 中线移位
  • 牙列拥挤
  • 扭转

用于

  • 扩弓
  • 唇倾
  • 下颌前导功能
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3)
  • Optimized extrusion attachment (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1)
  • Precision wings (MA) on Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 4.6 (LR6), Buccal 3.6 (LL6)
Courtesy of Dr F. Garino 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

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
  • 后牙反牙合已矫正
  • 实现正常覆盖和覆牙合
  •  显著改善覆盖
  • 中线对齐
  • 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
  • 已实现所有治疗目标
  • 实现牙弓协调

总的治疗时间

  • 个月

矫治器数量

  • Maxillary: 40 + 18 = 58
  • Mandibular: 40 + 11 = 51

矫治器配戴时间

  • 1 周

评论

  • Expansion in the upper arch as needed to obtain space for 1.2 and increase intercanine width in combination with the use of MA Precion wings to allow class II correction
  • In the lower arch the crowding was corrected through expansion and proclination
  • Additional aligners were used to extrude 1.2 once space was created
  • The patient ended his phase 1 of treatment with Class II corrected into an almost a Class I molar relationship considering that lee way space will be used since still in mixed dentition
  • The case will be evaluated in the next 1-2 years and if needed a short phase II to correct minor tooth movements of permanent canines and bicuspids will be done
  • I shared this case to show how important the use of a phase I treatment for a growing patient with the use of not only tooth movement but also a functional treatment can be