Deep bite
,
上颌中线偏移
,
牙列间隙
,
齿隙

Leveling curve of Spee
,
伸长
,
压低
,
内收
,
间隙闭合
Courtesy of Dr M. Roennau Lemos Rinaldi, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: male
  • Invisalign Treatment Option: Invisalign Teen

矫治器数量

  • Maxillary: 23 + 11 + 11 = 45
  • Mandibulary: 19 + 22 + 11 = 52

Aligner Wear time

  • 1 周

保留

  • Maxillary: Other clear
  • Mandibular: Fixed/Bonded

Results achieved

  •  保持安氏 I 类关系
  •  两侧的功能性尖牙引导
  •  深覆牙合已改善
  •  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
  • 已改善牙弓形状

评论

The leveling of the curve of Spee was obtained with the intrusion of the upper and lower incisors, and extrusion of premolars.
Bite Ramps planned only in 1.3 and 2.3 to facilitate the extrusion of premolars during the first set of aligners.The excessive overjet made impossible to apply Bite Ramps on upper incisors. At the final of the first set of aligners, the overjet was improved and the midline correction achieved.
The second set was planned with Bite Ramps in anterior teeth and the use of vertical elastics for posterior extrusion. At the final of this set a better overbite was achieved.
The final set of aligners closed residual spaces, and Class II elastics were prescribed to potencialize the action of Power Ridges.

Images

Initial and final

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进展

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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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