Sınıf I
,
Asimetrik arklar
,
Mandibular orta hat sapması
,
Orta Hat Kayması
,
Çapraşıklık
,
Rotasyonlar
,
Boşluk

Mesiyalizasyon
,
 Spee Eğrisini Düzleştirme
,
Ektrüzyon
,
İntrüzyon
,
Ekspansiyon
,
Retraksiyon
,
First premolar extraction
,
IPR
,
Boşluk Kapatma
,
Elastikler: Sınıf II
,
Elastics: Class II in Additional Aligners
,
Elastikler: Sınıf III
,
Elastikler: Dikey
,
Diş çekme (ekstraksiyon)
Courtesy of Dr B. Wang, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 ay

Hizalayıcı sayısı

  • Maxillary: 76 + 30 + 24 = 130
  • Mandibulary: 76 + 30 + 24 = 130

Aligner Wear time

  • 1 hafta

Alıkoyma

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • Sınıf I ilişkisi korundu
  • Her iki tarafta işlevsel köpekdişi kılavuzu
  • Normal overjet ve overbite’a ulaşıldı
  • 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

1. Both upper and lower 1st premolars as well as 18, 28 and 38 were extracted and maximum anchorage was designed to help correct skeletal bimaxillary protrusion
2. 38 was used to replace 37, segmental archwire technique was used for a short time during 38 mesialization and space closure between 37 and 38
3. Power ridge design was used in both upper and lower anterior teeth to help prevent periodontal iatrogenic sequelae such as further gingival recession and additional bone loss during orthodontic treatment
4. Premolars extrusion combined with anterior teeth intrusion to help level the curve of spee
5. Both upper and lower dental arch were reshaped and coordinated
6. IPR was performed to help correct Bloton discrepancy in upper and lower anterior region as well as reduce black triangle in upper and lower anterior teeth
7. Different kinds of elastics were used to help anchorage control and final occlusion detailing

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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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