Klasse I
,
Kreuzbiss im Seitenzahnbereich
,
Anteriorer Kreuzbiss
,
Enge Zahnbögen
,
Asymmetrische Zahnbögen
,
Maxilläre Mittellinien-Abweichung
,
Mandibuläre Mittellinien-Abweichung
,
Mittellinienverschiebung
,
Engstand
,
Rotationen

Distalisation
,
 Nivellierung der Spee-Kurve
,
Extrusion
,
Expansion
,
Elastics: Klasse II
,
Elastics: Class II in Additional Aligners
,
Elastics: Klasse III
Courtesy of Dr. S. Tsai, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 32
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 20 monate

Anzahl der Aligner

  • Maxillary: 39 + 23 = 62
  • Mandibulary: 39 + 23 = 62

Aligner Wear time

  • Progressive Aligner Change: 14 Days- 10 Days- 7 Days.

Retention

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Results achieved

  • Klasse I-Relation erhalten
  • Funktionale Eckzahn-Führung auf beiden Seiten
  • Posteriorer Kreuzbiss korrigiert
  • Normaler Overjet und Overbite erzielt
  • Mittellinien symmetrisch
  • Richtige axiale Schneidezahninklination
  • 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

  • The treatment plan for this case is to keep the upper incisors in its initial AP position and get space from maxillary /mandibular arch expansion and distalization
  • Sequential upper and lower arch distalization plan: distalize molars, premolars, then canine & incisors ( total distalization 1.5mm )
  • A 4 mm horizontal CRT on 3.7 was selected to assist molar distalization
  • Doing arch expansion movement while doing sequential distalization
  • Night-time wear of class III elastics after upper sequential distalization was done to assist lower molar distalization

Images

Initial and final

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upper
lower
right
front
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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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