Sınıf III
,
Posterior Çapraz Kapanış
,
Anterior Çapraz Kapanış
,
Dar Ark
,
Asimetrik arklar
,
Maksiller orta hat sapması
,
Mandibular orta hat sapması
,
Orta Hat Kayması
,
Çapraşıklık
,
Rotasyonlar

Distalizasyon
,
Mesiyalizasyon
,
 Spee Eğrisini Düzleştirme
,
Ektrüzyon
,
İntrüzyon
,
Ekspansiyon
,
Retraksiyon
,
Proklinasyon
,
First premolar extraction
,
IPR
,
Boşluk Kapatma
,
Ameliyat Öncesi
,
Elastikler: Sınıf II
,
Elastikler: Sınıf III
Courtesy of Dr. B. Wang, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 20
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 26 months

Hizalayıcı sayısı

  • Maxillary: 44 + 33 + 9 = 86
  • Mandibulary: 44 + 33 + 9 = 86

Aligner Wear time

  • 1 week

Alıkoyma

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Sınıf I ilişkisine ulaşıldı
  • Her iki tarafta işlevsel köpekdişi kılavuzu
  • Anterior çapraz kapanış düzeltildi
  • Posterior çapraz kapanış düzeltildi
  • Normal overjet ve overbite’a ulaşıldı
  • Overjet’in önemli ölçüde iyileştirilmesi
  • Orta hatlar çakışık
  • Kesici dişlerin düzgün eksenel inklinasyonu
  • Curve of Spee leveled
  • Arklar hizalandı ve koordine edildi
  • Ark biçimi iyileştirildi
  • Estetik gülümseme hattına ulaşıld 
  • Vakanın tüm tedavi hedeflerine erişildi
  • Harmonik arklar elde edildi

Yorumlar

  • Pre surgical orthodontics: alignment and leveling of both upper and lower denture
  • Coordination of both upper and lower dental arch shape, extraction of 1.4 and 2.4 to retract upper anterior teeth for decompensation. Resolving upper denture crowding and correct upper dental midline deviation. Crow root torque combined with root lingual torque was used for lower anterior teeth for decompensation, power ridge was used for lower anterior teeth to prevent periodontal complications such as gingival recession, alveolar bone dehiscence, and fenestration, IPR was used to correct Bolton discrepancy
  • Orthognathic surgery: Le fort I osteotomy was performed for maxillary advancement, Bilateral sagittal split ramus osteotomy was performed for mandible setback and derotation
  • Post-surgical orthodontics: correct and stabilize post-surgical jaw position and relationship as well as detailing the final occlusal relationships

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

İlerleme

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upper
lower
right
front
left
İlkSon
Before picture of treatment
After picture of treatment
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Radyogramlar

İlk Son
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