安氏 III 类
,
后牙反牙合
,
前牙反牙合
,
切对切咬合
,
Open 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

远中移动
,
 平整 Spee 曲线
,
伸长
,
扩弓
,
内收
,
邻面去釉
,
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: 18
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

矫治器数量

  • Maxillary: 33 + 17 = 50
  • Mandibulary: 33 + 17 = 50

Aligner Wear time

  • Progressive Aligner Change interval: 14days- 10 days- 7 days

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
  • 后牙反牙合已矫正
  • 实现正常覆盖和覆牙合
  •  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

  • Upper and lower wisdom molars were extracted pre-Invisalign treatment.
  • The lower wisdom molar extraction was required in this treatment due to lower arch sequential distalization and planned at clincheck treatment plan.
  • The hyperexpansion of upper right first premolar was corrected planning lingual movement with simultaneous torque control.
  • We planned sequential lower arch distalization to correct the class III molar and canine into class I molar and canine.
  • Lower arch sequential distalization provided space in order to retract lower anterior teeth and therefore correct crossbite of upper lateral teeth.
  • The anterior overjet created, allowed us to retract upper incisors and therefore correct dental biprotusion.
  • Patient collaboration during total treatment time was excellent, wearing full-time ( 22 hours/day ) aligners and class III elastics.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

进展

Click to compare enlarged
upper
lower
right
front
left
初始状态治疗后
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

X光片

初始状态 治疗后
Click to compare enlarged399
Click to compare enlarged393