Klasse III
,
Kreuzbiss im Seitenzahnbereich
,
Anteriorer Kreuzbiss
,
Enge Zahnbögen
,
Asymmetrische Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Mandibuläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

Distalisation
,
Mesialisation
,
 Nivellierung der Spee-Kurve
,
Extrusion
,
Intrusion
,
Expansion
,
Retraktion
,
Proklination
,
First premolar extraction
,
ASR
,
Lückenschließung
,
Vor der OP
,
Elastics: Klasse II
,
Elastics: Klasse III
Courtesy of Dr. B. Wang, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 20
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 26 months

Anzahl der Aligner

  • Maxillary: 44 + 33 + 9 = 86
  • Mandibulary: 44 + 33 + 9 = 86

Aligner Wear time

  • 1 week

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  •  Kreuzbiss im Frontzahnbereich korrigiert
  • Posteriorer Kreuzbiss korrigiert
  • Normaler Overjet und Overbite erzielt
  • Deutliche Verbesserung des Overjet
  • Mittellinien symmetrisch
  • Richtige axiale Schneidezahninklination
  • Curve of Spee leveled
  • Zahnbögen begradigt und koordiniert
  • Zahnbogenform verbessert
  • Ästhetische Lachlinie wurde erzielt  
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • Pre surgical orthodontics: alignment and leveling of both upper and lower denture
  • Coordination of both upper and lower dental arch shape, extraction of 1.4 and 2.4 to retract upper anterior teeth for decompensation. Resolving upper denture crowding and correct upper dental midline deviation. Crow root torque combined with root lingual torque was used for lower anterior teeth for decompensation, power ridge was used for lower anterior teeth to prevent periodontal complications such as gingival recession, alveolar bone dehiscence, and fenestration, IPR was used to correct Bolton discrepancy
  • Orthognathic surgery: Le fort I osteotomy was performed for maxillary advancement, Bilateral sagittal split ramus osteotomy was performed for mandible setback and derotation
  • Post-surgical orthodontics: correct and stabilize post-surgical jaw position and relationship as well as detailing the final occlusal relationships

Images

Initial and final

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upper
lower
right
front
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upper
lower
right
front
left

Fortschritt

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AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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