Class III
,
Posterior crossbite
,
Anterior Crossbite
,
Narrow arches
,
Asymmetric arches
,
Crowding
,
Rotations
,
Impacted canines
,
Diastema

Distalization
,
Leveling Curve of Spee
,
Intrusion
,
Expansion
,
Retraction
,
Proclination
,
IPR
,
Space Closure
,
Elastics: Class III
,
Extraction
Courtesy of Dr B. Wang, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 10
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 22数ヶ月

Number of aligners

  • Maxillary: 53 + 18 + 14 = 85
  • Mandibulary: 53 + 18 + 14 = 85

Aligner Wear time

  • 1주

Retention

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Class I relationship achieved
  • Functional canine guidance on both sides
  • Anterior crossbite corrected
  • Posterior crossbite corrected
  • 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
  • Arch form improved
  • Aesthetic smile line was achieved 
  • All treatment goals were achieved case
  • Harmonic arches were achieved

코멘트

  •  15, 17, 25, 27, 34, 35, 37, 44, 45 and 47 were all included in treatment during refinements after eruption.
  • Dental expansion was designed for narrow upper dental arch to coordinate upper and lower dental arch width.
  • Upper anterior teeth proclination, upper posterior teeth distalization, diastema, as well as upper dental expansion were used to provide spaces to include the impacted 13 and 23.
  • Different amount of posterior teeth distalization was performed to correct asymmetric dental arch forms in both upper and lower denture.
  • Lower anterior teeth intrusion and upper anterior teeth extrusion were designed to level Curve of Spee, maintain anterior overbite as well as achieve an aesthetic smile line.
  • Class III elastics were used to distalize lower posterior teeth and retract lower anterior teeth to help correct Class III malocclusion and achieve normal anterior overjet.
  • Power ridge was designed for lower anterior teeth to help prevent periodontal complications during treatment.
  • IPR was used in lower denture to help correct Bolton discrepancy.

Images

Initial and final

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upper
lower
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front
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lower
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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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