Classe III
,
Morso crociato posteriore
,
Morso crociato anteriore
,
Open bite
,
Arcate asimmetriche
,
Deviazione della linea mediana mascellare
,
Deviazione della linea mediana mandibolare
,
Spostamento della linea mediana
,
Rotazioni
,
Spaziatura
,
Diastema

Distalizzazione
,
Mesializzazione
,
 Livellamento della curva di Spee
,
Estrusione
,
Intrusione
,
Espansione
,
Retrazione
,
Proclinazione
,
IPR
,
Chiusura degli spazi
,
Pre-chirurgico
,
Elastici: Classe II
,
Elastici: 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 mesi

Numero di aligner

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

Aligner Wear time

  • 1settimana

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
  • Allineamento di entrambe le arcate attraverso la derotazione
  • Miglioramento della forma dell’arcata
  • Linea del sorriso estetica  
  • Tutti gli obiettivi di trattamento sono stati raggiunti
  • Armonizzazione delle arcate

Commenti

  • 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

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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