安氏 I 类
,
前牙反牙合
,
切对切咬合
,
牙弓狭窄
,
后牙反牙合
,
牙弓不对称
,
牙列间隙
,
齿隙

第 I 阶段治疗/阻断
,
弹性牵引:安氏 III 类
,
Leveling curve of Spee
,
压低
,
扩弓
,
内收
,
唇倾
,
间隙闭合

治疗信息

  • 年龄: 8
  • 性别: 男性
  • Invisalign治疗选项: Invisalign First

诊断概要

  • 安氏 I 类
  • 前牙反牙合
  • 切对切咬合
  • 牙弓狭窄
  • 后牙反牙合
  • 牙弓不对称
  • 牙列间隙
  • 齿隙

用于

  • 扩弓
  • 压低
  •  平整 Spee 曲线
  • 唇倾
  • 内收
  • 间隙闭合
  • 弹性牵引:安氏 III 类
  • 第 I 阶段治疗/阻断
  • Optimized rotation attachment (G3) on Buccal 4.3 (LR3), Buccal 2.e (ULe)
  • Optimized extrusion attachment (G3) on Buccal 4.2 (LR2), Buccal 1.c (URc), Buccal 2.c (ULc)
  • Power ridge feature (G3) on Buccal 1.1 (UR1), Buccal 2.1 (UL1), Buccal 3.2 (LL2)
  • Optimized multiplane (G4) on Buccal 3.6 (LL6)
  • Pressure areas (G5) on Lingual 3.2 (LL2), Lingual 3.3 (LL3)
  • Conventional bite ramp on Lingual 4.1 (LR1), Lingual 3.1 (LL1)
  • Optimized expansion support attachment (Phase 1) on Buccal 4.6 (LR6), Buccal 1.d (URd), Buccal 1.e (URe), Buccal 4.d (LRd), Buccal 4.e (LRe), Buccal 3.d (LLd), Buccal 3.e (LLe)
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
Final of Phase I
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

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

  • 8个月

矫治器数量

  • Maxillary: 28
  • Mandibular: 28

矫治器配戴时间

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

评论

  • Sequential expansion of upper and lower 1st molars followed by expansion of primary molars and canines: dental crossbite of primary canines corrected (53 and 63)
  • Retraction of lower central teeth: LR1 and LL1
  • Proclination of upper central teeth: UR1 and UL1 : anterior dental crossbite corrected
  • Proclination of upper primary lateral teeth: 52 and 62: anterior dental crossbite corrected
  • Significant improve overjet and overbite
  • ClinCheck Pro features: 0.8mm space was created at mesial and distal of lower primary canines for the future permanent canines: LL3 and LR3
  • ClinCheck Pro features: 1.4mm space was created at mesial and distal of upper primary canines for the future permanent canines: UR3 and UL3

保留

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer