Klasse I
,
Anteriorer Kreuzbiss
,
Kantenbiss
,
Asymmetrische Zahnbögen
,
Mandibuläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen
,
Lückenstand
,
Prärestaurativ

Elastics: Klasse II
,
 Nivellierung der Spee-Kurve
,
Intrusion
,
Retraktion
,
Andere Extraktion
,
ASR
,
Lückenschließung
,
Elastics: Vertikal
Courtesy of Dr S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 monate

Anzahl der Aligner

  • Maxillary: 69 + 15 = 84
  • Mandibulary: 69 + 27 = 96

Aligner Wear time

  • 7days and 10 days

Results achieved

  • Klasse I-Relation erhalten
  • Funktionale Eckzahn-Führung auf beiden Seiten
  •  Kreuzbiss im Frontzahnbereich korrigiert
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • Deutliche Verbesserung des Overjet
  • Richtige axiale Schneidezahninklination
  • Spee-Kurve nivelliert
  • Zahnbögen begradigt und koordiniert
  • Alignment beider Zahnbögen durch De-Rotation
  • Zahnbogenform verbessert
  • Aesthetic smile linewas achieved
  • Alle Behandlungsziele wurden erreicht für den Fall
  • Harmonie der Zahnbögen wurde erzielt

Bemerkungen

  • This is a Class I bi-maxillary protrusion case.
  • The ideal treatment plan would have been extraction of 1.4, 2.4, 3.4 and 4.4 with the use of G6 maximal anchorage protocol.
  • Because the patient is missing 1.5 and 3.6 and the minimal health condition of the teeth I decided to Extract 2.5 and 4.5.(both prosthesis) and close the spaces of 1.5,2.5, 3.6 ans 4.5 with maximal anchorage design.
  • This was a very difficult case that had an amazing result with the use of a combination aligners and Class II Elastics.
  • Vivera retainers finalize this treatment.

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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upper
lower
right
front
left
AusgangspositionFinale
Before picture of treatment
After picture of treatment
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Röntgenbilder

Ausgangsposition Finale
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