安氏 II 类 1 分类
,
深覆牙合
,
后牙反牙合
,
牙列拥挤
,
扭转

弹性牵引:安氏 II 类
,
远中移动
,
Leveling curve of Spee
,
弹性牵引:垂直面
,
压低
,
内收
,
邻面去釉

治疗信息

  • 年龄: 27
  • 性别:
  • Invisalign治疗选项: Invisalign Full

诊断概要

  • 安氏 II 类 1 分类
  • 深覆牙合
  • 后牙反牙合
  • 牙列拥挤
  • 扭转

用于

  • 远中移动
  • 压低
  •  平整 Spee 曲线
  • 内收
  • 邻面去釉
  • 弹性牵引:垂直面
  • 弹性牵引:安氏 II 类
  • Optimized rotation attachment (G3) on Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.5 (LR5)
Courtesy of Dr. V. Laoamata 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

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
  •  深覆牙合已改善
  •  覆盖已改善
  • 中线对齐
  • 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
  • 已实现所有治疗目标
  • 实现牙弓协调

总的治疗时间

  • 16 个月

矫治器数量

  • Maxillary: 42 + 16 = 58
  • Mandibular: 42 + 16 = 58

矫治器配戴时间

  • 1 周

评论

  • This is a Class II case with a good profile
  • The treatment plan set up was to use sequential distalization to correct the Class II molar and canine relationship to Class I
  • Class II elastics were used with precision cuts, along with 5 mm. vertical conventional rectangular attachments on 1.3 and 2.3 to provide retention of the aligner due to the short crown
  • The Optimized rotation attachment on 3.5 was very effective for the derotation and alignment
  • Finally, the vertical elastics were used to close the posterior open bite in the additional aligner set

保留

  • Maxillary: Vivera
  • Mandibular: Vivera