安氏 II 类 1 分类
,
深覆盖
,
 下颌后缩
,
深覆牙合
,
后牙反牙合
,
牙弓不对称
,
上颌中线偏移
,
下颌中线偏移
,
牙列拥挤
,
扭转

下颌前导功能
,
Elastics: Class II in Additional Aligners
,
远中移动
,
Leveling curve of Spee
,
压低
,
扩弓

Teen case of the month

Dr. J. Brabant
Dr. J. Brabant

We would like to congratulate Dr. Brabant with the results of this great Mandibular Advancement case and the 900th case published to the Global Invisalign Gallery!

Dr. Quote: “Invisalign with Mandibular Advancement helps not only the AP correction but also alignment and transverse correction at the same time.” 

 

治疗信息

  • 年龄: 14
  • 性别: 男性
  • Invisalign治疗选项: Invisalign Teen with MA

诊断概要

  • 安氏 II 类 1 分类
  • 深覆盖
  •  下颌后缩
  • 深覆牙合
  • 后牙反牙合
  • 牙弓不对称
  • 上颌中线偏移
  • 下颌中线偏移
  • 牙列拥挤
  • 扭转

用于

  • 下颌前导功能
  • 远中移动
  • 扩弓
  • 压低
  •  平整 Spee 曲线
  • Class II Elastics in Additional Aligners
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Power ridge feature (G3) on Buccal 2.1 (UL1)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1), Buccal 1.3 (UR3), Buccal 2.4 (UL4), Buccal 4.4 (LR4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 3.4 (LL4)
  • Optimized support attachment on upper laterals (G7) on Buccal 1.2 (UR2)
  • Precision wings brackets (MA) on Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 4.5 (LR5), Buccal 3.5 (LL5)
Courtesy of Dr. J. Brabant 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
  • 后牙反牙合已矫正
  • 实现正常覆盖和覆牙合
  •  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
  • 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

总的治疗时间

  • 20个月

矫治器数量

  • Maxillary: 32 + 46 + 12 = 90
  • Mandibular: 32 + 46 + 12 = 90

矫治器配戴时间

  • 1 周

评论

  • Invisalign with mandibular advancement was used to perform a number of functions simultaneously
  • AP correction, expansion, alignment, levelling the Curve of Spee were significantly corrected with the first set of aligners
  • Additional aligners used for unilateral upper posterior distalization to correct to Class I molar and canine relationship and to correct midline deviation
  • Class II elastics aided this correction
  • Further levelling the Curve of Spee and posterior extrusion closed lateral open bites
  • Additional aligners without attachments and worn at night were used as retainers as well as fine-tuning the posteriors occlusion

保留

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner