安氏 III 类
,
前牙反牙合
,
牙列拥挤
,
扭转

弹性牵引:垂直面
,
伸长
,
压低
,
扩弓
,
邻面去釉

治疗信息

  • 年龄: 35
  • 性别:
  • Invisalign治疗选项: Invisalign Full

诊断概要

  • 安氏 III 类
  • 前牙反牙合
  • 牙列拥挤
  • 扭转

用于

  • 扩弓
  • 伸长
  • 压低
  • 邻面去釉
  • 弹性牵引:垂直面
  • Optimized rotation attachment (G3) on Buccal 2.3 (UL3), Buccal 2.4 (UL4), Lingual 2.5 (UL5), Buccal 4.4 (LR4), Buccal 3.5 (LL5)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.4 (UR4), Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
  • Multi-tooth extrusion attachments (G4) on Buccal 1.1 (UR1), Buccal 1.2 (UR2), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
Courtesy of Dr. V. Laoamata 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

  •  保持安氏 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
  • 中线对齐
  • 切牙达到合适的轴向倾斜
  • 已对齐并协调牙弓
  • 通过去扭转对齐上下牙弓
  • 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

  • 19 个月

矫治器数量

  • Maxillary: 22 + 22 + 13 = 57
  • Mandibular: 22 + 22 + 13 = 57

矫治器配戴时间

  • 1 周

评论

  • This is a mild skeletal Class III case with upper incisor proclination (dental compensation)
  • The upper left lateral incisor was trapped in-stand palatally and so the upper left canine was blocked out labially and caused gingival recession
  • With the invisalign treatment, bite plane liked appliance is so effective to raise the bite and eliminate anterior interference, while other teeth could be aligned simultaneously
  • Moreover, the optimized rotation attachment has proved itself to powerfully derotate and extrude the 2.3
  • After the treatment completed the 2.3 is properly aligned in alveolar housing and the gingival recession had improved by only invisalign's mechanotherapy
  • In conclusion, invisalign treatment can correct an anterior crossbite without anterior tooth flaring like we always encounter in fixed brace appliances

保留

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer