隐适美-技师沟通模版

1、隐适美技师沟通参考模版一、处方表中“特殊说明”1写明治疗目标和特殊主诉要求：Treatment objective: Aim at2终末状态：End result:1）中线：Midli ne2 ）尖牙磨牙关系：Canine and molar relati on ship:3）覆合及覆盖：Overbite and overjet:4）切牙位置及转矩：In cisors positi on and an gulati on:3上下颌间隙来源：唇倾、扩弓、 IPR、推磨牙向后、拔牙、后牙去扭转等1）上颌：Upper:2）下颌：Lower:4步骤：Stagi ng5其他牵引钩及开窗:Hook and

2、 cutout:开展间隙：Space:个人偏好：如后牙紧密咬合接触Posterior heavy con tact6若PVS咬合记录连同印模同时寄出，需在特殊说明中标注：请扫描并根据PVS咬合记录建立咬合关系Please sca n PVS bite record and set in itial bite accord ing to it二、中线1维持上中线，以上中线为准，下中线对齐上中线Mai nta in upper midli ne, coord in ate lower midli ne with upper2上中线向左/右移动1mm，下中线对齐上中线Shift upper midl

3、i ne to the left/ right side by 1mm, coord in ate lower midli ne with upper*切勿出现：1对齐中线；2 口内中线对齐面中线三、下切牙位置、转矩1维持4.1位置，排齐下切牙Maintain positi on of 4.1, alig n other in cisors with 4.12下前牙唇倾/内收1mmProcli ne/Retract lower an terior by 1mm3维持3.1转矩，其他切牙与之匹配crow n torque with 3.1Maintain torque of 3.1, match

4、 other in cisors4在下颌2-2内收时增加10度根舌向转矩Add 10 degree root lingual torque to lower 2-2 when retracting them四、上切牙位置（覆盖）、转矩1以1.1为准排齐上切牙Alig n upper in cisors with the in itial 1.12上前牙内收3mmRetract upper an terior by 3mm3达到前牙0.5mm覆盖，必要时辅助IPRAchieve 0.5mm OJ, add IPR on upper anterior as needed4维持1.1转矩，其他切牙与

5、之匹配Mai ntai n in itial torque of 1.1, match other in cisors' crow n torque with 1.1五、覆合1下颌3-3压低1.5mmIn trude lower 3-3 by 1.5mm2压低下前牙整平Spee曲线In trude lower an terior to achieve 0 degree curve of Spee3压低下前牙至0.5mm覆合In trude lower an terior to achieve 0.5mm OB六、磨牙关系及位置1上颌磨牙不要前移Do n ot mesialize upp

6、er molars2通过上颌推磨牙向后达到磨牙I类关系Distalize molar to achieve molar CI relati on ship3上颌后牙前移1mmMesialize upper posterior by 1mm4上颌双侧推磨牙向后3mmDistalize upper left and right molar by 3mm5上颌后牙前移达到磨牙完全远中关系Mesialize upper molar to achieve molar full Class II relati on ship七、关闭间隙1通过前牙内收关闭所有间隙Close all space by an

7、terior retracti on2下前牙内收达到尖牙I类关系，剩余间隙由后牙前移关闭posteriorRetract loweran teriorto achieve Canine CI relati on ship,close residual space bymesializati on八、开展间隙1通过3.7后移，在3.6位置开展8.5mm 间隙作后期修复Achieve 8.5mm space for 3.6 restorati on by 3.7 distalizati on九、IPR位置及量1在1.1及2.1之间设计 0.5mm IPRPerform 0.5mm IPR betw

8、ee n 1.1 and 2.12在1.3及2.3之间每个邻接触点设计0.5mmlPRPerform IPR from 1.3 mesial to 2.3 mesial, 0.5mm each site3通过下前牙设计IPR达到前牙0.5mm覆盖Achieve 0.5mm OJ, perform IPR on lower an terior as n eeded十、个别牙齿的移动1公式：牙位+移动方向+移动量+移动时机2 1.6 压低 2mmIn trude 1.6 by 2mm十一、附件在牙面的具体位置，放置时间1 1.7 1.6 整体后移过程中在颊侧设计垂直矩形附件，到位后移除1.7附件A

9、dd vertical rectangular attachment to 1.7 1.6 when distalizing them, remove 1.7 attachment after 1.7 distalizati on十二、牙齿移动的先后顺序1上前牙先排齐再内收Retract upper an terior after alig nment2下前牙先去扭转再压低Derotate Lower in cisors first and the n in trude them3先压低下切牙，再压低下尖牙In trude lower in cisors first and the n in

10、trude canines4先压低下前牙再内收In trude lower an terior first and the n retract them十三、Bite Ramp、精密切割放置的位置及时机1从第七步起，在上颌尖牙放置牵引钩，下颌第一磨牙放置开窗From stage 7, add hook to upper canin es, add cutout to lower first molar如何审阅ClinCheck 方案一、检查初始咬合状态1对照记存模型及口内照片2检查治疗前咬合接触是否异常*如存在初始咬合接触与患者口内实际情况不符，需分析原因：1 一般情况下，技师通过您提交的口内

11、咬合照片使用软件建立咬合关系，若照片角度不佳，清晰度不足等原因导致初始咬合异常，需提供新的咬合照片或记存模型照片（小贴士：拍摄上下颌合面照时可考虑使用咬合纸，记录咬合印迹，技师会参考该咬合印迹建立咬合）2若排除照片因素，可考虑要求技师重新根据照片建立咬合，参考语句如下：请根据照片重新核对口内咬合关系（Please reset in itial bite accord ing to oral photos）3必要时，可提交PVS咬合记录（全牙列），必须在修改意见中写：请根据PVS咬合记录建立咬合关系（Please resetin itial bite accord ing to PVS bite

12、 record4直接描述法，譬如上颌左侧第一磨牙近中颊尖咬在下颌左侧第一磨牙近中颊沟上（Mesial-buccalcusp ofupper left first molar bite on mesial-buccal groove of lower left first molar二、矫治目标-牙齿排列1牙列排齐2牙齿边缘嵴3颊舌向倾斜度4咬合关系（尖牙、磨牙）5覆合、覆盖6邻牙接触7牙根平行若涉及排牙的，建议直接使用3D控制功能自行修改，不建议通过书写修改意见若需描述，可参考公式：牙位+移动方向+移动量+时机，如从第一步起，1.1压低1mm三、附件1不能要求添加优化附件，不能更改优化附件位置

13、2若自行将优化附件更改为传统附件，可要求技师再将其改为优化附件3传统附件建议自行通过 3D控制功能修改4可以要求在任一阶段添加、去除、更换、移动附件从第二步到第十四步在 44上放置3mm垂直矩形附件Place 3mm vertical recta ngular attachme nt to 44 from stage 2 to 12在第二步粘结所有附件Place all attachme nts at stage 2在第十五步将13上的附件更换为3mm垂直矩形附件Change the attachme nt on 13 to 3mm vertical recta ngular attachme

14、 nt at stage 15在第二十步将16上附件向远中移动 2mmMove the attachme nt on 16 distally by 2mm at stage 20在第二十步将15上的开窗向远中移动1mmMove the cutout on 15 distally by 1mm at stage 20四、IPR1 IPR/开展间隙的位置、量、时机请在11、21间设计0.2mmlPRPlease perform 0.2mm IPR between 11 and 21请从13近中至23近中每个位点设计0.2mm IPRPlease perform IPR from 13 mesial

15、 to 23 mesial, 0.2mm at each site请在第三步前完成 11、21间IPRPlease perform IPR betwee n 11 and 21 before stage 3在22远中预留1mm间隙Please leave 1mm space in the distal of 22五、步骤1牙齿先后移动顺序/模式2只能通过写Comments修改关闭拔牙间隙1尖牙先远中移动1.5mm ，然后整体内收前牙Please distalize canine by 1.5mm, and then retract anterior2使用蛙跳式内收上前牙*蛙跳式内收：前牙交替式

16、内收，尖牙先内收关闭拔牙间隙1/3，然后停止，切牙内收1/3后停止，尖牙继续内收关闭拔牙间隙1/3，以此类推Please retract upper an terior with frog patter n3下尖牙先远中移动1mm，然后停止移动，接着排齐压低下切牙。切牙压低完成后，整体内收下颌3-3。Please distalize lower canines by 1mm, then stop the movement of lower canines, and start toin trude andalig n lower in cisors.After the in trusi on

17、of in cisors fini shed, please restart to retractlower 3-3推磨牙向后1同时推上颌第一第二磨牙向后，然后同时推第一第二前磨牙向后，最后内收前牙Distalize first and second molars simultaneously, and then distalize first and second premolarssimulta neously, and the n retract an terior.2使用V-pattern推上颌磨牙向后*V-pattern:第二磨牙先移动 1/2，后移动第一磨牙1/2，以此类推。Ple

18、ase distalize upper molars with V-patter n3上颌分步推磨牙向后Please distalize molar seque ntially压低上下前牙1请先压低下切牙，再压低下尖牙Please in trude lower in cisors, and the n in trude canines2使用蛙跳式压低下前牙*蛙跳式压低：交替式压低前牙，先压低尖牙1/3，然后停止，然后压低切牙1/3，然后停止，重新开始压低尖牙1/3，以此类推。Please in trude lower an terior with frog pattern3下尖牙区先扩弓，然后开始压低下切牙Expa nd lower canines first and the n start to in trude lower in cisors精密切割Button cutout/ Hook1放置时机请从第二步到第十五步在16上放置开窗Please place cutout on 16 from stage 2 to 15Bite Ramps1上颌切牙/尖牙：切牙-精密Bite Ramps ，尖牙-传统Bite Ramps2放置时机请从第五步起在上切牙放置Bit