Klasse I
,
Engstand

Distalisation
,
Mesialisation
,
 Nivellierung der Spee-Kurve
,
Intrusion
,
Expansion
,
Retraktion
,
First premolar extraction
,
ASR
,
Elastics: Klasse II
,
Elastics: Vertikal
Courtesy of Dr. T. Minamidate, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 18 monate

Anzahl der Aligner

  • Maxillary: 29 + 18 + 8 = 55
  • Mandibulary: 29 + 18 + 8 = 55

Aligner Wear time

  • 1 woche

Retention

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • Klasse I-Relation erzielt
  • Class II relationship maintained
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Normaler Overjet und Overbite erzielt
  • Tiefbiss verbessert
  • Overjet verbessert
  • 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

  • There were a few skeletal abnormalities, but the arch length discrepancy was large with severe crowding.
  • The gingival biotype was also thin, and it was determined that it would be difficult to expand the arch and align the teeth without premolar extraction. Otherwise, the risk of gingival recession would be high.
  • Regarding the molar relationship, 1.4 teeth were extracted on the left side and finished Angle Class II, while the left side was kept in Angle Class I.
  • The canine relationship achieved was Class I bilaterally.
  • The midline was matched, the smile line greatly improved, and tight occlusion was achieved throughout the whole arch.

Images

Initial and final

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front
left
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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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