安氏 I 类
,
深覆牙合
,
下颌中线偏移
,
牙列拥挤
,
扭转

Leveling curve of Spee
,
压低
,
内收
,
First premolar extraction
,
邻面去釉

治疗信息

  • 年龄: 18
  • 性别: 男性
  • Invisalign治疗选项: Invisalign Full

诊断概要

  • 安氏 I 类
  • 深覆牙合
  • 下颌中线偏移
  • 牙列拥挤
  • 扭转

用于

  • 压低
  •  平整 Spee 曲线
  • 拔牙
  • 内收
  •  拔除第一前磨牙
  • 邻面去釉
  • Class II Elastics in Additional Aligners
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Lingual 1.1 (UR1), Buccal 2.1 (UL1), Buccal 4.1 (LR1), Buccal 3.1 (LL1)
  • Optimized root control attachments (G4) on Buccal 4.3 (LR3), Buccal 4.4 (LR4)
  • Optimized retraction attachments (G6) on Buccal 1.3 (UR3), Buccal 2.2 (UL2), Buccal 3.3 (LL3)
  • First premolar extraction solution for maximum anchorage (G6) on Buccal 1.5 (UR5), Buccal 1.6 (UR6), Buccal 1.7 (UR7), Buccal 2.5 (UL5), Buccal 2.6 (UL6), Buccal 2.7 (UL7), Buccal 3.5 (LL5), Buccal 3.6 (LL6), Buccal 3.7 (LL7)
Courtesy of Dr. S. Shih-Hsuan Chen 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

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

  •  保持安氏 I 类关系
  •  两侧的功能性尖牙引导
  • 实现正常覆盖和覆牙合
  •  深覆牙合已改善
  •  显著改善覆牙合
  • 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

  • 28 个月

矫治器数量

  • Maxillary: 68 + 24 = 92
  • Mandibular: 68 + 24 = 92

矫治器配戴时间

  • 7-10 days

评论

  • Closure of all extraction spaces (including a 10mm space) was achieved without tipping in this teen case
  • G6 feature was used in 3 of the 4 quadrants
  • Even the deepbite was improved after the closure of extraction space
  • The protrusive profile was improved with good control of incisor torque
  • 4.3 was extruded successfully
  • Upper and lower midlines are coincident

保留

  • Maxillary: Other clear
  • Mandibular: Other clear