Klasse I
,
Anteriorer Kreuzbiss
,
Kantenbiss
,
Maxilläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

Distalisation
,
Intrusion
,
Retraktion
,
First premolar extraction
,
ASR
,
Lückenschließung
,
Elastics: Klasse III
,
Elastics: Vertikal
,
Extraktion
Courtesy of Dr Y. Nien Shan, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 17
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 36 months

Anzahl der Aligner

  • Maxillary: 66 + 21 + 4 = 91
  • Mandibulary: 66 + 21 + 4 = 91

Aligner Wear time

  • 9-10 days

Retention

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  •  Kreuzbiss im Frontzahnbereich korrigiert
  • Normaler Overjet und Overbite erzielt
  • Overjet verbessert
  • Mittellinien symmetrisch
  • Richtige axiale Schneidezahninklination
  • Zahnbögen begradigt und koordiniert
  • Alignment beider Zahnbögen durch De-Rotation
  • Ästhetische Lachlinie wurde erzielt  
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • This is a pure G6 case using elastics to get a good and comfortable result.
  • During the first series, the patient did not have sensitivity and controlled the wearing time from 9-10 days by feeling (sometimes even 12 days).
  • Class III elastic was added only between stages 34-39 for anchorage control.
  • For the first AA, I just needed to correct the shallow bite, 35 rotation, and bite settling.
  • I tried adding horizontal attachments over posterior teeth for extrusion. But in the end, I also use vertical elastic to reinforce it.
  • Comparing her profile changing, we got a surprising and beautiful outcome.

Images

Initial and final

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front
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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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