安氏 II 类 2 分类
,
 下颌后缩
,
深覆牙合
,
牙弓狭窄
,
牙列拥挤

下颌前导功能
,
Elastics: Class II in Additional Aligners
,
压低
,
扩弓
,
邻面去釉

Teen case of the month

Dr. M. Makino
Dr. M. Makino

We would like to thank Dr. Makino for submitting this Mandibular Advancement case that shows a well thought out treatment planning with an excellent result.

Dr. Quote: " With the Invisalign system  I find that patient's life management is the most important. I am grateful for the patients who always use their aligners in good compliance."

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 2 分类
  •  下颌后缩
  • 深覆牙合
  • 牙弓狭窄
  • 牙列拥挤

用于

  • 扩弓
  • 压低
  • 邻面去釉
  • Class II Elastics in Additional Aligners
  • 下颌前导功能
  • Optimized extrusion attachment (G3) on Buccal 2.2 (UL2)
  • Power ridge feature (G3) on Buccal 1.1 (UR1)
  • Optimized root control attachments (G4) on Buccal 3.4 (LL4)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.2 (UL2)
  • Precision wings (MA) on Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 2.7 (UL7), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Buccal 3.5 (LL5), Buccal 3.6 (LL6)
Courtesy of Dr. M. Makino 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
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
  • 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

  • 16 个月

矫治器数量

  • Maxillary: 42 + 24 = 66
  • Mandibular: 42 + 24 = 66

矫治器配戴时间

  • 1 周

评论

  • Sufficient mandibular forward propulsion achieved
  • After the MA phase, we used vertical elastics to achieve a good posterior occlusal

保留

  • Maxillary: Hawley
  • Mandibular: Fixed/Bonded