安氏 II 类 1 分类
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Open bite
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牙弓狭窄
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牙列拥挤
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扭转
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修复前

远中移动
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 平整 Spee 曲线
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伸长
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内收
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邻面去釉
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修复
,
Veneers
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弹性牵引:安氏 II 类
Courtesy of Dr G. Thiesen, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 37
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 9 个月

矫治器数量

  • Mandibulary: 39

保留

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

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
  •  覆盖已改善
  • 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
  • 已改善牙弓形状
  • 已获得美观的微笑线  
  • 实现牙弓协调

评论

Class II correction and overjet improvement were achieved with the use during treatment of medium 1/4"Class II elastics.
Maxillary and mandibular dental arches were aligned, and maxillary and mandibular incisor inclinations were improved.
Space for the maxillary and mandibular crowding was achieved by means of posterior expansion and some IPR.
Leveling of the Curve of Spee was done in the anterior and posterior segments.
Ideal overbite was obtained by extruding the maxillary anterior teeth mainly. These teeth were moved bucally to derotate and open visible spaces between them, and only later extrusion was performed.
The maxillary anterior teeth were leveled at their gingival margin, in order to improve the esthetic outcome at the end of treatment using veneers.
Composite veneers of the right lateral and central maxillary incisors were made at the end of treatment.

Images

Initial and final

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进展

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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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