安氏 I 类
,
深覆盖
,
深覆牙合
,
牙弓狭窄
,
扭转
,
牙列间隙

Leveling curve of Spee
,
压低
,
扩弓
,
邻面去釉

治疗信息

  • 年龄: 36
  • 性别: 男性
  • Invisalign治疗选项: Invisalign Full

诊断概要

  • 安氏 I 类
  • 深覆盖
  • 深覆牙合
  • 牙弓狭窄
  • 扭转
  • 牙列间隙

用于

  • 扩弓
  • 压低
  •  平整 Spee 曲线
  • 邻面去釉
  • Optimized rotation attachment (G3) on Buccal 2.4 (UL4), Buccal 4.5 (LR5)
  • Optimized multiplane (G4) on Buccal 1.2 (UR2), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.4 (UR4), Buccal 2.5 (UL5)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 1.5 (UR5), Buccal 3.5 (LL5)
  • Precision bite ramp (G5) on Lingual 1.1 (UR1), Lingual 1.2 (UR2), Lingual 2.1 (UL1), Lingual 2.2 (UL2)
  • Optimized retraction attachments (G6) on Buccal 1.6 (UR6)
Courtesy of Dr. Q. 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
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
  • 实现正常覆盖和覆牙合
  •  深覆牙合已改善
  •  覆盖已改善
  • Curve of Spee leveled
  • 已改善牙弓形状
  • 已获得美观的微笑线 
  • 实现牙弓协调

总的治疗时间

  • 19 个月

矫治器数量

  • Maxillary: 40 + 25 + 13 = 78
  • Mandibular: 40 + 25 + 13 = 78

矫治器配戴时间

  • 1 周

评论

  • A scissors bite is difficult to treat for all types of orthodontic appliances
  • We tried to successfully treat this case with aligners and used an experimental new way to open the bite while correcting the scissors bite of all 5 posterior teeth
  • We added attachments on the buccal cusps of all lower molars as a bite block to separate upper and lower arches
  • These attachments were never bonded on teeth
  • The result is quite satisfying and the occlusal relationship was great
  • The lower arch was well expanded and the scissors bite was fully corrected
  • All treatment goals were accomplished.

保留

  • Maxillary: Other clear
  • Mandibular: Other clear