安氏 III 类
,
前牙反牙合
,
Deep bite
,
牙弓狭窄
,
牙弓不对称
,
上颌中线偏移
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转
,
牙列间隙
,
齿隙

远中移动
,
 平整 Spee 曲线
,
伸长
,
压低
,
扩弓
,
内收
,
唇倾
,
邻面去釉
,
间隙闭合
,
第 II 阶段治疗
,
弹性牵引:安氏 III 类
Courtesy of Dr K. Malekian, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 44
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

矫治器数量

  • Maxillary: 31 + 15 = 46
  • Mandibulary: 40 + 15 = 55

Aligner Wear time

  • Progressive Aligner Change Interval. / 14 Days-10 Days/ 7 Days.At Additional Aligners 7 Day Aligner Change Interval.

保留

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • 达到安氏 I 类关系
  •  保持安氏 I 类关系
  •  两侧的功能性尖牙引导
  •  前牙反牙合已矫正
  • 实现正常覆盖和覆牙合
  •  深覆牙合已改善
  •  覆盖已改善
  •  显著改善覆牙合
  •  显著改善覆盖
  • 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

  • Expansion of Upper Arch ( Maxilla ) was performed.
  • Upper 4 Incisor and Canine Proclination were planned at Clincheck treatment plan in order to reduce the anterior negative overjet ( -3mm) and to help correct the upper anterior crossbite.
  • Align Sequential Distalization protocol was performed in the lower arch in order to go from Class III Molar and Canine into Class I Molar/ Canine and to reduce anterior overjet.
  • High Patient Collaboration was required to wear full-time aligners with Class III Elastics ( Anchorage Control for Lower Arch Sequential Distalization).
  • Optimized Rotation attachments (G3) for derotation of high angle rotation of lower premolars and lower canines.

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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X光片

初始状态 治疗后
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