安氏 II 类 1 分类
,
深覆盖
,
牙弓狭窄
,
下颌中线偏移
,
牙列拥挤
,
扭转

修复
,
Leveling curve of Spee
,
伸长
,
压低
,
扩弓
,
内收
,
邻面去釉
,
种植体

治疗信息

  • 年龄: 69
  • 性别:
  • Invisalign治疗选项: Invisalign Full

诊断概要

  • 安氏 II 类 1 分类
  • 深覆盖
  • 牙弓狭窄
  • 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
  • 内收
  • 邻面去釉
  • 修复前
  • 种植体
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 4.4 (LR4), Buccal 3.3 (LL3)
  • Optimized root control attachments (G4) on Buccal 1.2 (UR2), Buccal 1.3 (UR3), Buccal 2.1 (UL1), Buccal 2.2 (UL2), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5)
  • Pressure areas (G5) on Lingual 2.1 (UL1), Lingual 4.1 (LR1), Lingual 4.2 (LR2), Lingual 4.3 (LR3), Lingual 3.1 (LL1), Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Optimized extrusion attachments for molars (G7+) on Buccal 3.5 (LL5)
Courtesy of Dr R. Loyer 2019

相片

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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

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ClinCheck治疗计划

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video upper-lower
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初始状态

治疗总结

实现的结果

  •  保持安氏 I 类关系
  •  保持安氏 II 类关系
  • 实现正常覆盖和覆牙合
  •  显著改善覆盖
  • 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 
  • 已实现所有治疗目标
  • 实现牙弓协调

总的治疗时间

  • 9 个月

矫治器数量

  • Maxillary: 19
  • Mandibular: 19

矫治器配戴时间

  • 2 周

评论

  • This patient was formerly treated for her bruxism with the diagnosis of Cervico-Cranio-Mandibular Disorder
  • The final position of her mandibular bone was stable
  • We did expansion and bimaxillary arch correction
  • We created more lingual torque to superior incisors, vestibular torque to inferior incisors, intruded inferior incisors to improve the curve of Spee
  • We improved the superior and inferior canine interrelationship in order to reconstruct canine cusps in a later stage to obtain canine guidance
  • Our goal was to smoothen the sulcus of the inferior lip and chin and to close the nasal-labial angle to improve the patient's profile.
  • We wanted to obtain a right-side Class I dental relationship, but the patient was satisfied and didn't want to continue with Additional Aligners
  • She decided that for her age and condition, the initial treatment including the posterior canine cusp reconstruction was really good. The treatment surpassed her initial expectations

保留

  • Maxillary:
  • Mandibular: