安氏 III 类
,
Open bite
,
牙列拥挤
,
扭转

远中移动
,
伸长
,
压低
,
扩弓
,
内收
,
唇倾
,
邻面去釉
,
弹性牵引:安氏 III 类
Courtesy of Dr D. Sun, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 22개월

矫治器数量

  • Maxillary: 5 + 38 = 43
  • Mandibulary: 5 + 38 = 43

Aligner Wear time

  • 2 周

保留

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

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
  • 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  
  • 已实现所有治疗目标
  • 实现牙弓协调

评论

  • Started additional aligner after stage 5 because the patient didn’t accept IPR
  • Made a new impression after using fixed expansion devices
  • Improved anterior open bite by intrusion of posterior teeth of the upper arch
  • Lower left distalization and expansion of lower right arch to retract lower anterior teeth
  • Used Class Ⅲ elastic to achieve Class Ⅰ relationship of right canines and molars
  • Expansion of upper arch to align arch

 

 

 

 

 

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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