安氏 II 类 1 分类
,
深覆盖
,
牙弓不对称
,
上颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转

远中移动
,
伸长
,
扩弓
,
内收
,
邻面去釉
,
种植体
,
弹性牵引:安氏 II 类
Courtesy of Dr C. Carvalho, 2020
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 19
  • Gender: male
  • Invisalign Treatment Option: Invisalign Comprehensive

矫治器数量

  • Maxillary: 30
  • Mandibulary: 11

Aligner Wear time

  • 10天

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
  •  显著改善覆盖
  • 中线对齐
  • 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

The case had a class II on the right side. I needed to correct class II and for that, I did a sequential distalization to have predictability. To ensure that I do not lose anchorage, insert a mini implant between 2.4 and 2.6, as soon as I have finished the 2.6 distalization movement. Another interesting thing was the use of class II elastic to further increase anchorage and assist in distalization.
I did lower IPR to move the lower midline slightly to the patient's right. Finally, I moved the anterior teeth to the patient's left and corrected the upper midline and the overjet

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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

  • 优化扭转附件 (G3)
  • 优化伸长附件 (G3)
  • Optimized Multi-plane (G4)
  • 优化控根附件 (G4)
  • 传统咬合导板
Download ADF files:
初始状态