Classe III
,
Articulé croisé postérieur
,
Articulé croisé antérieur
,
Open bite
,
Arcades asymétriques
,
Décalage de la ligne médiane maxillaire
,
Décalage de la ligne médiane mandibulaire
,
Décalage des lignes médianes
,
Rotations
,
Espacement
,
Diastème

Distalisation
,
Mésialisation
,
 Nivellement de la courbe de Spee
,
Égression
,
Ingression
,
Expansion
,
Rétraction
,
Vestibulo-version
,
RIP
,
Fermeture d'espace
,
Pré-chirurgical
,
Élastiques : Classe II
,
Élastiques : Classe III
Courtesy of Dr. B. Wang, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 20
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 18 mois

Nombre d'aligners

  • Maxillary: 39 + 16 = 55
  • Mandibulary: 39 + 16 = 55

Aligner Wear time

  • 1 semaine

Rétention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Relation de Classe I obtenue
  • Guidage fonctionnel des canines des deux côtés
  •  Articulé croisé antérieur corrigé
  • Articulé croisé postérieur corrigé
  • Surplomb normal et recouvrement obtenu
  • Amélioration significative du surplomb
  • Les axes médians coïncident
  • Inclinaison axiale correcte des incisives
  • Curve of Spee leveled
  • Arcades alignées et coordonnées
  • Alignement des deux arcades par le biais d'une dérotation
  • Forme de l'arcade améliorée
  • Ligne de sourire esthétique obtenue  
  • Cas dont les objectifs de traitement ont tous été atteints
  • Obtention d’arcades harmonieuses

Commentaires

  • Pre-surgical orthodontic treatment, upper and lower dental arch shape coordination, retract upper anterior teeth for sagittal decompensation with existed spacing and upper posterior teeth distalization.
  • Crown labial torque combined with root lingual torque was used for lower anterior teeth for sagittal decompensation with the help of power ridge design in order to prevent gingival recession, fenestration, and dehiscence during orthodontic treatment.
  • IPR was carried out to correct Bolton discrepancy in the upper and lower anterior region, lower premolar extrusion combined with anterior teeth intrusion to help level Curve of Spee, move the upper dental midline to coincide with facial midline, and move the lower dental midline to coincide with the middle of the mandible, impacted 8s were all extracted before pre-surgical orthodontics
  • Le fort I osteotomy was carried out for maxilla advancement, Bilateral sagittal split osteotomy was carried out for mandible setback and derotation.
  • Post-surgical orthodontic treatment for stabilizing maxilla, mandible relationship, and position as well as detailing the final occlusions.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Le progrès

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upper
lower
right
front
left
DébutFinal
Before picture of treatment
After picture of treatment
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Radiographies

Début Final
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