安氏 III 类
,
前牙反牙合
,
深覆牙合
,
牙弓狭窄
,
后牙反牙合
,
牙弓不对称
,
上颌中线偏移
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转
,
牙列间隙
,
齿隙

弹性牵引:安氏 III 类
,
远中移动
,
近中移动
,
Leveling curve of Spee
,
压低
,
扩弓
,
内收
,
唇倾
,
邻面去釉
,
第 II 阶段治疗

治疗信息

  • 年龄: 31
  • 性别:
  • Invisalign治疗选项: Invisalign Full

诊断概要

  • 安氏 III 类
  • 前牙反牙合
  • 深覆牙合
  • 牙弓狭窄
  • 后牙反牙合
  • 牙弓不对称
  • 上颌中线偏移
  • 下颌中线偏移
  • 中线移位
  • 牙列拥挤
  • 扭转
  • 牙列间隙
  • 齿隙

用于

  • 远中移动
  • 近中移动
  • 扩弓
  • 压低
  •  平整 Spee 曲线
  • 唇倾
  • 内收
  • 邻面去釉
  • 弹性牵引:安氏 III 类
  • 第 II 阶段治疗
  • Class III Elastics During Additional Aligners.
  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 3.5 (LL5)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.5 (UL5), Buccal 4.3 (LR3), Buccal 4.4 (LR4), Buccal 3.3 (LL3), Buccal 3.4 (LL4)
  • Optimized deepbite attachments for anchorage (G5) on Buccal 4.5 (LR5)
Courtesy of Dr. K. Malekian 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
  •  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
  • 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
  •  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
  • 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

  • 20个月

矫治器数量

  • Maxillary: 62 + 17 = 79
  • Mandibular: 62 + 17 = 79

矫治器配戴时间

  • Progressive Aligner Change: 14 Days- 10 Days- 7 Days.

评论

  • Maxilla arch expansion
  • Mesialization of upper arch: molars, premolars, canine
  • Sequential lower arch distalization: molars, premolars, canine & incisors ( total distalization 3.25mm )
  • Full-time class iii elastics wear
  • Full-time aligner wear
  • Sequential attachments at lower molars: at the stage, the lower molars finish distalization a 4mm beveled attachment is placed at the buccal surface of the lower molars to increase anchorage
  • Lingual beveled attachments placed at the lingual surface of lower incisors
  • Retraction and simultaneous lingual root torque of lower incisors during lower arch sequential distalization
  • The lower reversed curve of Spee flattened
  • Multiple rotations were aligned with optimized rotation attachments: ur5, ur4, ul4
  • Spacing and diastema were closed at upper incisors

保留

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer