Klasse I
,
Deep bite
,
Engstand
,
Rotationen

 Nivellierung der Spee-Kurve
,
Extrusion
,
Intrusion
,
Expansion
,
Proklination
,
ASR
,
Elastics: Vertikal
Courtesy of Dr W. Chang, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 36
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 16 monate

Anzahl der Aligner

  • Maxillary: 27 + 19 + 8 = 54
  • Mandibulary: 27 + 19 + 8 = 54

Aligner Wear time

  • 8 days

Retention

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • Klasse I-Relation erzielt
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normaler Overjet und Overbite erzielt
  • Tiefbiss verbessert
  • Deutliche Verbesserung des Overbite
  • 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

Bemerkungen

  • We expanded both arches, intruded upper incisors, intruded and flared lower 3-3 to reduce OB and OJ, bite ramps at upper 2-2 also supply good function to reduce OB.
  • Severe rotation of lower central incisors ( 48.7°) were corrected without any attachments.
  • The use of power chain at palatal bonded buttons of 1.6/1.7/2.6/2.7 helps to correct rotation of 1.7/2.7 ( 27.13°/ 23.84°);

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
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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