安氏 II 类 2 分类
,
 下颌后缩
,
牙弓狭窄
,
牙弓不对称
,
牙列拥挤

下颌前导功能
,
远中移动
,
近中移动
,
Leveling curve of Spee
,
伸长
,
压低
,
扩弓
,
唇倾
,
邻面去釉

优秀 治疗方案

Dr. J. L. Lagunilla Ruiz
Dr. J. L. Lagunilla Ruiz

We would like to congratulate Dr. Lagunilla Ruiz with winning the Scientific Symposium 2019 Peer review awards!

Dr. Quote: “I wanted to show with this treatment that a class II case which many classical orthodontists would have solved with extractions of 1.4 and 2.4, can be solved using Invisalign, performing the  alignment and the mandibular advancement simultaneously, in a short period of time and without the need for extractions, with a good treatment planning and thanks to patient's collaboration”.

 

治疗信息

  • 年龄: 13
  • 性别:
  • Invisalign治疗选项: Invisalign Teen with MA

诊断概要

  • 安氏 II 类 2 分类
  •  下颌后缩
  • 牙弓狭窄
  • 牙弓不对称
  • 牙列拥挤

用于

  • 远中移动
  • 近中移动
  • 扩弓
  • 伸长
  • 压低
  •  平整 Spee 曲线
  • 唇倾
  • 邻面去釉
  • 下颌前导功能
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.3 (UL3), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Lingual 3.4 (LL4), Lingual 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Precision wings (MA)
Courtesy of Dr. J. L. Lagunilla Ruiz 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

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
  • 实现正常覆盖和覆牙合
  •  深覆牙合已改善
  •  覆盖已改善
  •  显著改善覆牙合
  •  显著改善覆盖
  • 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
  • 已获得美观的微笑线 
  • 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: 46 + 16 + 15 = 77
  • Mandibular: 46 + 13 + 9 = 68

矫治器配戴时间

  • 1 周

评论

  • Our plan was to expand the arches this helped to solve the crowding and created space to align the teeth and extrude the 1.3 and the 2.3
  • All treatment goals were achieved

保留

  • Maxillary:
  • Mandibular: