安氏 I 类
,
牙弓狭窄
,
牙列拥挤
,
扭转

修复
,
 平整 Spee 曲线
,
内收
,
邻面去釉
,
间隙闭合
Courtesy of Dr. R. Bordin, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 52
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 26 months

矫治器数量

  • Maxillary: 33 + 22 = 55
  • Mandibulary: 33 + 22 = 55

Aligner Wear time

  • 15 days - 10 days

保留

  • Maxillary: Fixed/Bonded
  • Mandibular: Other clear

Results achieved

  •  保持安氏 I 类关系
  •  两侧的功能性尖牙引导
  • 实现正常覆盖和覆牙合
  •  覆盖已改善
  • 中线对齐
  • 切牙达到合适的轴向倾斜
  • 已对齐并协调牙弓
  • 已改善牙弓形状
  • 已获得美观的微笑线  
  • 实现牙弓协调

评论

  • Because of mobility and mesial deep bone loss, the patient received advice from an implantologist to extract tooth 2.1 and place an implant
  • We decided to first treat orthodontically and align all teeth, to give her a proper stable occlusion especially 2.1, so, even if she loses the tooth in the future, the implant can be placed in a favorable desirable position.
  • Two stages and IPR were needed to completely resolve the crowding of lower incisors, especially tooth 4.2
  • IPR and retraction was needed to align and correct the flared upper anterior teeth
  • Because of the anterior bone loss, we took our time with the correction
  • Endodontic treatment was performed on tooth 2.1 throughout the treatment, and patients' bone loss condition began to improve
  • Heavy contacts on anterior were evaluated during the treatment with our focus on tooth 2.1
  • Occlusal adjustments on the palatal surface were performed as needed
  • At the end of the treatment, the black triangle between 1.1 and 2.1 was improved aesthetically by means of restoring the mesial surfaces using composite resin which closed the remaining gap
  • With the correction of the anterior occlusion, the bone loss on the mesial surface of tooth 2.1  and mobility improved a lot
  • As for now, the implant of tooth 2.1 is on hold. We hope for forever
  • We chose to place a palatal fixed retainer between #1.1 and #2.1 together with clear vacuum-formed retainers for now (Vivera will be done later)

Images

Initial and final

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upper
lower
right
front
left
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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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ClinCheck治疗计划

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Smartforce features

  • Optimized rotation attachment (G3) on Buccal 1.4 (UR4), Buccal 2.3 (UL3), Buccal 2.4 (UL4), Buccal 2.5 (UL5), Buccal 4.4 (LR4), Buccal 4.5 (LR5), Buccal 3.3 (LL3), Buccal 3.4 (LL4), Buccal 3.5 (LL5)
  • Optimized extrusion attachment (G3) on Buccal 4.2 (LR2)
  • Optimized root control attachments (G4) on Buccal 1.3 (UR3), Buccal 1.5 (UR5), Buccal 2.2 (UL2)
  • Optimized deep bite attachments for anchorage (G5) on Buccal 4.5 (LR5)
  • Pressure areas (G5) on Buccal 2.2 (UL2), Lingual 2.2 (UL2)
Download ADF files:
初始状态
附加矫治器