Classe III
,
Morso crociato posteriore
,
Morso crociato anteriore
,
Arcate strette
,
Arcate asimmetriche
,
Deviazione della linea mediana mascellare
,
Deviazione della linea mediana mandibolare
,
Spostamento della linea mediana
,
Affollamento
,
Rotazioni

Distalizzazione
,
Mesializzazione
,
 Livellamento della curva di Spee
,
Estrusione
,
Intrusione
,
Espansione
,
Retrazione
,
Proclinazione
,
First premolar extraction
,
IPR
,
Chiusura degli spazi
,
Pre-chirurgico
,
Elastici: Classe II
,
Elastici: Classe III
Courtesy of Dr. B. Wang, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 20
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 26 months

Numero di aligner

  • Maxillary: 44 + 33 + 9 = 86
  • Mandibulary: 44 + 33 + 9 = 86

Aligner Wear time

  • 1 week

Ritenzione

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Relazione di Classe I
  • Guida funzionale dei canini su entrambi i lati
  •  Morso crociato anteriore corretto
  • Morso crociato posteriore corretto
  • Overjet e overbite normali
  • Miglioramento significativo dell'overjet
  • Linee mediane coincidenti
  • Inclinazione assiale corretta degli incisivi
  • Curve of Spee leveled
  • Arcate allineate e coordinate
  • Miglioramento della forma dell’arcata
  • Linea del sorriso estetica  
  • Tutti gli obiettivi di trattamento sono stati raggiunti
  • Armonizzazione delle arcate

Commenti

  • Pre surgical orthodontics: alignment and leveling of both upper and lower denture
  • Coordination of both upper and lower dental arch shape, extraction of 1.4 and 2.4 to retract upper anterior teeth for decompensation. Resolving upper denture crowding and correct upper dental midline deviation. Crow root torque combined with root lingual torque was used for lower anterior teeth for decompensation, power ridge was used for lower anterior teeth to prevent periodontal complications such as gingival recession, alveolar bone dehiscence, and fenestration, IPR was used to correct Bolton discrepancy
  • Orthognathic surgery: Le fort I osteotomy was performed for maxillary advancement, Bilateral sagittal split ramus osteotomy was performed for mandible setback and derotation
  • Post-surgical orthodontics: correct and stabilize post-surgical jaw position and relationship as well as detailing the final occlusal relationships

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

Progresso

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upper
lower
right
front
left
InizialeFinale
Before picture of treatment
After picture of treatment
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Le radiografie

Iniziale Finale
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