安氏 II 类 2 分类
,
后牙反牙合
,
Deep bite
,
牙弓不对称
,
上颌中线偏移
,
牙列拥挤
,
扭转

 平整 Spee 曲线
,
扩弓
,
内收
,
邻面去釉
Courtesy of Dr D. Raickovic, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 9 个月

矫治器数量

  • Maxillary: 27
  • Mandibulary: 35

Aligner Wear time

  • 1 周

保留

  • Maxillary: Other clear
  • Mandibular: Other clear

Results achieved

  • 达到安氏 I 类关系
  •  两侧的功能性尖牙引导
  • 后牙反牙合已矫正
  •  深覆牙合已改善
  •  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
  • 通过去扭转对齐上下牙弓
  • 已改善牙弓形状
  • 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

  • In the upper arch expansion + derotation of canines and incisors with sequence of derotation, I included in sequence of round tripping to make it more predictable.
  • After derotation IPR + intrusion + retrusion + palatal root torque.
  • In lower arch expansion + derotation of premolars to open space necessary for correction of whole crown crossbite (scissor-bite) of teeth 1.4, 4.4. Proclination + intrusion of lower incisors together with expansion and derotation of lower canines (rotated by 50 degrees).
  • With the sequence of round tripping of lower incisors and canines and integration of rotation at the same time, I de-rotated lower incisors and canines.
  • After derotation followed intrusion + retrusion + lingual root torque.

Images

Initial and final

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upper
lower
right
front
left
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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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