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Distalisation of the dental arches using clear aligners and miniscrews

By:
Hanshi Li,  Li Mei,  Yan Yang,  Xin Zhao and  Yu Li  
Open Access
|Jul 2021

Figures & Tables

Figure 1.

Pretreatment facial and intraoral photographs.
Pretreatment facial and intraoral photographs.

Figure 2.

Pretreatment dental casts.
Pretreatment dental casts.

Figure 3.

Pretreatment cephalometric radiograph (top left) and tracing (top right) and panoramic radiograph (bottom).
Pretreatment cephalometric radiograph (top left) and tracing (top right) and panoramic radiograph (bottom).

Figure 4.

Intraoral photographs showing the elastics running from the precision-cuts to the miniscrews.
Intraoral photographs showing the elastics running from the precision-cuts to the miniscrews.

Figure 5.

Facial and intraoral photographs before the first refinement during treatment.
Facial and intraoral photographs before the first refinement during treatment.

Figure 6.

Post-treatment facial and intraoral photographs.
Post-treatment facial and intraoral photographs.

Figure 7.

Post-treatment dental casts.
Post-treatment dental casts.

Figure 8.

Facial and intraoral photographs after 1.5 years retention. The upper two miniscrews remained in the oral cavity for retention (elastics from the cuts in the retainer to the miniscrews).
Facial and intraoral photographs after 1.5 years retention. The upper two miniscrews remained in the oral cavity for retention (elastics from the cuts in the retainer to the miniscrews).

Figure 9.

Post-treatment cephalometric radiograph (top left) and tracing (top right) and panoramic radiograph (bottom).
Post-treatment cephalometric radiograph (top left) and tracing (top right) and panoramic radiograph (bottom).

Figure 10.

Superimposition of the pretreatment (black line) and post-treatment (red line) cephalometric radiographs.
Superimposition of the pretreatment (black line) and post-treatment (red line) cephalometric radiographs.

Figure 11.

Superimposition of the pretreatment (black line) and post-treatment (red line) cephalometric radiographs (maxilla and mandible alone).
Superimposition of the pretreatment (black line) and post-treatment (red line) cephalometric radiographs (maxilla and mandible alone).

Figure 12.

Superimposition of the post-treatment (red line) and the 1.5-year retention (green line) cephalometric radiographs.
Superimposition of the post-treatment (red line) and the 1.5-year retention (green line) cephalometric radiographs.

Cephalometric analyses before and after the treatment_

MeasurementNormal43, 44 BeforeAfterChanges*
Skeletal
SNA (Sella-Nasion-point A, °)83.6 ± 3.684.883.2-1.6
SNB (Sella-Nasion-point B, °)79.7 ± 3.681.579.3-2.2
ANB (Point A-Nasion-point B, °)3.9 ± 1.83.03.9-0.9
SN-MP (SN plane-mandibular plane, °)32.9 ± 4.034.435.91.5
S-Go/N-Me (Sella-gonion/nasion-menton, %)65.9 ± 4.067.366.1-1.2
Dental
U1-L1 (Axial inclination of upper and lower incisors, °)117.6 ± 8.8116.7115.8-0.9
U1-SN (U1-sella nasion, °)65.0 ± 7.567.966.9-1.0
U1-AP (Protrusion of maxillary incisors, mm)6.7 ± 2.010.88.6-2.2
L1-AP (Protrusion of mandibular incisors, mm)3.0 ± 2.08.35.1-3.2
FMIA (Frankfort horizontal plane-L1, °)57.0 ± 7.057.561.64.1
U1-PP (U1-palatal plane, mm)27.5 ± 2.030.529.7-0.8
U6-PP (U6-palatal plane, mm)21.5 ± 2.026.625.6-1.0
Ptv-U6 (Pterygomaxillary fissure-U6, mm)18.0 ± 3.022.819.8-3.0
Profile
Upper lip to E-plane (mm)-1.5 ± 2.41.0-1.1-2.1
Lower lip to E-plane (mm)0.9 ± 2.54.51.6-2.9
DOI: https://doi.org/10.21307/aoj-2021-014 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
Language: English
Page range: 128 - 138
Published on: Jul 13, 2021
Published by: Australian Society of Orthodontists Inc.
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Hanshi Li, Li Mei, Yan Yang, Xin Zhao, Yu Li, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.