Sınıf III
,
Posterior Çapraz Kapanış
,
Anterior Çapraz Kapanış
,
Open bite
,
Asimetrik arklar
,
Maksiller orta hat sapması
,
Mandibular orta hat sapması
,
Orta Hat Kayması
,
Rotasyonlar
,
Boşluk
,
Diyastema

Distalizasyon
,
Mesiyalizasyon
,
 Spee Eğrisini Düzleştirme
,
Ektrüzyon
,
İntrüzyon
,
Ekspansiyon
,
Retraksiyon
,
Proklinasyon
,
IPR
,
Boşluk Kapatma
,
Ameliyat Öncesi
,
Elastikler: Sınıf II
,
Elastikler: Sınıf III
Courtesy of Dr. B. Wang, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 20
  • Gender: male
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 18 ay

Hizalayıcı sayısı

  • Maxillary: 39 + 16 = 55
  • Mandibulary: 39 + 16 = 55

Aligner Wear time

  • 1 hafta

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
  • Derotasyonla her iki arkın hizalanması
  • Ark biçimi iyileştirildi
  • Estetik gülümseme hattına ulaşıld 
  • Vakanın tüm tedavi hedeflerine erişildi
  • Harmonik arklar elde edildi

Yorumlar

  • Pre-surgical orthodontic treatment, upper and lower dental arch shape coordination, retract upper anterior teeth for sagittal decompensation with existed spacing and upper posterior teeth distalization.
  • Crown labial torque combined with root lingual torque was used for lower anterior teeth for sagittal decompensation with the help of power ridge design in order to prevent gingival recession, fenestration, and dehiscence during orthodontic treatment.
  • IPR was carried out to correct Bolton discrepancy in the upper and lower anterior region, lower premolar extrusion combined with anterior teeth intrusion to help level Curve of Spee, move the upper dental midline to coincide with facial midline, and move the lower dental midline to coincide with the middle of the mandible, impacted 8s were all extracted before pre-surgical orthodontics
  • Le fort I osteotomy was carried out for maxilla advancement, Bilateral sagittal split osteotomy was carried out for mandible setback and derotation.
  • Post-surgical orthodontic treatment for stabilizing maxilla, mandible relationship, and position as well as detailing the final occlusions.

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

İlk Son
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