安氏 III 类
,
前牙反牙合
,
牙弓狭窄
,
后牙反牙合
,
牙列拥挤
,
扭转

弹性牵引:安氏 III 类
,
弹性牵引:垂直面
,
扩弓
,
内收
,
唇倾
,
邻面去釉

优秀 治疗方案

Dr R. Lie
Dr R. Lie

Dr. Quote: “This case shows that the use of the Invisalign Appliance has made it possible to treat patients which would normally have been difficult to address by orthodontic means only.”

治疗信息

  • 年龄: 19
  • 性别:
  • Invisalign治疗选项: Invisalign Full

诊断概要

  • 安氏 III 类
  • 前牙反牙合
  • 牙弓狭窄
  • 后牙反牙合
  • 牙列拥挤
  • 扭转

用于

  • 扩弓
  • 唇倾
  • 内收
  • 邻面去釉
  • 弹性牵引:垂直面
  • 弹性牵引:安氏 III 类
  • Optimized rotation attachment (G3) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Power ridge feature (G3) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
  • Optimized root control attachments (G4) on Buccal 4.5 (LR5)
  • Multi-tooth extrusion attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Pressure areas (G5) on Buccal 4.1 (LR1), Buccal 4.2 (LR2), Buccal 3.1 (LL1), Buccal 3.2 (LL2)
Courtesy of Dr R. Lie 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
  •  前牙反牙合已矫正
  • 后牙反牙合已矫正
  • 实现正常覆盖和覆牙合
  •  覆盖已改善
  •  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

  • 21 个月

矫治器数量

  • Maxillary: 36 + 24 + 11 = 71
  • Mandibular: 36 + 24 + 11 = 71

矫治器配戴时间

  • 1 周

评论

  • The desired outcome was achieved by a combination of arch expansion in the upper arch and retraction of the lower anterior teeth
  • Interproximal enamel reduction was performed between the posterior teeth in the lower arch for relieve of crowding and for retraction of the anterior teeth
  • Class III elastics were added to enact and coordinate the movements
  • Lingual root torque was added to the lower incisors for control of the root inclination during retraction

保留

  • Maxillary:
  • Mandibular: