安氏 III 类
,
前牙反牙合
,
切对切咬合
,
牙弓狭窄
,
牙弓不对称
,
下颌中线偏移
,
牙列拥挤
,
扭转
,
齿隙

 平整 Spee 曲线
,
扩弓
,
内收
,
唇倾
,
邻面去釉
,
弹性牵引:安氏 III 类
,
弹性牵引:垂直面
Courtesy of Dr M. Lama, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 15
  • Gender: male
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 19个月

矫治器数量

  • Maxillary: 38 + 14 + 24 = 76
  • Mandibulary: 38 + 14 + 24 = 76

Aligner Wear time

  • 1 周

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
  •  前牙反牙合已矫正
  •  深覆牙合已改善
  • 中线对齐
  • Curve of Spee leveled
  • 实现牙弓协调

评论

  • In the initial stage, I leveled the spee curve by intruding the lower incisors.
  • Applied lingual root torque of the lower incisors to improve the inter incisor angle.
  • Class III elastics were used to improve the Molar class.
  • Vertical elastics used to help close the posterior bite.
  • Patient collaboration was essential.
  • With the additional aligners we didn't do the programmed IPR since we considered it unnecessary as the incisors were quite leveled.
  • It was necessary to improve overbite.

Images

Initial and final

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upper
lower
right
front
left
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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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