クラスⅢ
,
切端咬合
,
狭窄歯列
,
歯列弓非対称
,
下顎正中のずれ
,
正中のずれ
,
叢生
,
捻転
,
空隙

遠心移動
,
近心移動
,
スピー湾曲のレベリング
,
挺出
,
圧下
,
拡大
,
リトラクション
,
唇側傾斜
,
空隙閉鎖
,
外科処置前
,
クラスⅡエラスティック
,
クラスⅢエラスティック
,
垂直エラスティック
Courtesy of Dr. B. Wang, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 26 months

アライナー数

  • Maxillary: 43 + 33 = 76
  • Mandibulary: 43 + 33 = 76

Aligner Wear time

  • 1 week

保持

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • クラスⅠ関係達成
  • 機能的な犬歯誘導(左右側)
  • 正常なオーバージェット&オーバーバイト達成
  • 正中一致
  • 切歯の適切な歯軸角
  • Curve of Spee leveled
  • 歯列の配列およびコーディネーション
  • 回転による上下顎の配列の達成
  • 審美的スマイルの達成 
  • 全ての治療目標を達成した症例
  • 調和のとれた歯列を達成

コメント

  • Pre-surgical orthodontics: Alignment, leveling and coordination of upper and lower arches
  • Upper posterior teeth distalization on both sides with the help of Class II elastics to palatally decompensate upper anterior teeth, power ridge was used to prevent a gingival recession, alveolar bone dehiscence and fenestration during lower anterior teeth labially decompensation
  • Orthognathic surgery: Le fort I osteotomy for maxillary advancement, bilateral sagittal split ramus osteotomy for mandibular setback and derotation
  • Post-surgical orthodontics: achieve stable maxillary and mandibular position and detailing the post-surgical occlusal relationship

Images

Initial and final

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進捗

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本治療治療後
Before picture of treatment
After picture of treatment
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レントゲン写真

本治療 治療後
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