安氏 III 类
,
切对切咬合
,
牙弓狭窄
,
牙弓不对称
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转
,
牙列间隙

远中移动
,
近中移动
,
 平整 Spee 曲线
,
伸长
,
压低
,
扩弓
,
内收
,
唇倾
,
间隙闭合
,
术前
,
弹性牵引:安氏 II 类
,
弹性牵引:安氏 III 类
,
弹性牵引:垂直面
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

矫治器数量

  • Maxillary: 43 + 33 = 76
  • Mandibulary: 43 + 33 = 76

Aligner Wear time

  • 1 week

保留

  • Maxillary: Hawley
  • Mandibular: Hawley

Results achieved

  • 达到安氏 I 类关系
  •  两侧的功能性尖牙引导
  • 实现正常覆盖和覆牙合
  • 中线对齐
  • 切牙达到合适的轴向倾斜
  • Curve of Spee leveled
  • 已对齐并协调牙弓
  • 通过去扭转对齐上下牙弓
  • 已获得美观的微笑线  
  • 已实现所有治疗目标
  • 实现牙弓协调

评论

  • 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
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upper
lower
right
front
left

进展

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upper
lower
right
front
left
初始状态治疗后
Before picture of treatment
After picture of treatment
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X光片

初始状态 治疗后
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