安氏 III 类
,
后牙反牙合
,
牙列拥挤

扩弓
,
唇倾

治疗信息

  • 年龄: 9
  • 性别: 男性
  • Invisalign治疗选项: Invisalign First

诊断概要

  • 安氏 III 类
  • 后牙反牙合
  • 牙列拥挤

用于

  • 扩弓
  • 唇倾
  • Optimized extrusion attachment (G3) on Buccal 1.2 (UR2), Lingual 1.1 (UR1), Buccal 2.1 (UL1), Buccal 2.2 (UL2)
  • Optimized root control attachments (G4) on Buccal 1.1 (UR1)
  • Optimized retention attachment (Phase 1) on Buccal 3.6 (LL6)
  • Optimized expansion support attachment (Phase 1) on Buccal 1.6 (UR6), Buccal 2.6 (UL6), Buccal 4.5 (LR5), Buccal 4.6 (LR6), Buccal 1.e (URe), Buccal 2.e (ULe), Buccal 4.d (LRd)
Courtesy of Dr. O. Crotty 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

  • 后牙反牙合已矫正
  • 实现正常覆盖和覆牙合
  • 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 

总的治疗时间

  • 13 个月

矫治器数量

  • Maxillary: 32 + 29 = 61
  • Mandibular: 32 + 29 = 61

评论

  • After U:32+28 and L:24+28 Invisalign First aligners, the anterior crossbite, posterior crossbite, narrow upper arch, and crowding were all corrected
  • Adequate space prepared for the permanent upper canines and the gingival health around the lower left central incisor was stabilized
  • Good aligner wear compliance and oral hygiene were maintained throughout Phase 1 treatment
  • The Phase 1 treatment time was 13 months, not including the pre-treatment eruption monitoring and passive vacuformed appliance phase. Note: This extra step is not needed in patients who do not require an acclimation phase due to the medical condition.
  • The final photos show the dentition 12-months post Phase I treatment
  • The goals for Phase 2 are to close the remaining lower spaces, extrude the upper left canine, and de-rotate the premolars
  • while maintaining a Class 1 bite relationship.

保留

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Publication


Invisalign First case report
English 2019

Dr. Owen Crotty