Class III, Edge to edge bite, Narrow arches, Asymmetric arches, Mandibular midline deviation, Midline shift, Crowding, Rotations, Spacing
Distalization
, Mesialization
, Leveling Curve of Spee
, Extrusion
, Intrusion
, Expansion
, Retraction
, Proclination
, Space Closure
, Pre-surgical
, Elastics: Class II
, Elastics: Class III
, Elastics: vertical
Courtesy of Dr. B. Wang,
2020
Treatment Summary
Patient Information
- Age: 19
- Gender: female
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 26 months
Number of aligners
- Maxillary: 43 + 33 = 76
- Mandibulary: 43 + 33 = 76
Aligner Wear time
- 1 week
Retention
- Maxillary: Hawley
- Mandibular: Hawley
Results achieved
- Class I relationship achieved
- Functional canine guidance on both sides
- Normal overjet and overbite achieved
- Midlines coincident
- Proper axial inclination of incisors
- Curve of Spee leveled
- Arches aligned and coordinated
- Alignment of both arches through derotation
- Aesthetic smile line was achieved
- All treatment goals were achieved case
- Harmonic arches were achieved
코멘트
- 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
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