Klasse I
,
Asymmetrische Zahnbögen
,
Mandibuläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen
,
Lückenstand

Mesialisation
,
 Nivellierung der Spee-Kurve
,
Extrusion
,
Intrusion
,
Expansion
,
Retraktion
,
First premolar extraction
,
ASR
,
Lückenschließung
,
Elastics: Klasse II
,
Elastics: Class II in Additional Aligners
,
Elastics: Klasse III
,
Elastics: Vertikal
,
Extraktion
Courtesy of Dr B. Wang, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 monate

Anzahl der Aligner

  • Maxillary: 76 + 30 + 24 = 130
  • Mandibulary: 76 + 30 + 24 = 130

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

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

Bemerkungen

1. Both upper and lower 1st premolars as well as 18, 28 and 38 were extracted and maximum anchorage was designed to help correct skeletal bimaxillary protrusion
2. 38 was used to replace 37, segmental archwire technique was used for a short time during 38 mesialization and space closure between 37 and 38
3. Power ridge design was used in both upper and lower anterior teeth to help prevent periodontal iatrogenic sequelae such as further gingival recession and additional bone loss during orthodontic treatment
4. Premolars extrusion combined with anterior teeth intrusion to help level the curve of spee
5. Both upper and lower dental arch were reshaped and coordinated
6. IPR was performed to help correct Bloton discrepancy in upper and lower anterior region as well as reduce black triangle in upper and lower anterior teeth
7. Different kinds of elastics were used to help anchorage control and final occlusion detailing

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Fortschritt

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lower
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front
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AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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