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
Before picture of treatment

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

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

진행

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치료 전 초기최종
Before picture of treatment
After picture of treatment
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방사선 사진

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