安氏 I 类
,
牙弓狭窄
,
上颌中线偏移
,
牙列拥挤
,
扭转

 平整 Spee 曲线
,
扩弓
,
唇倾
,
邻面去釉
Courtesy of Dr C. Carvalho, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 35
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 22개월

矫治器数量

  • Maxillary: 22 + 22 + 14 = 58
  • Mandibulary: 30 + 22 + 14 = 66

Aligner Wear time

  • 10天

保留

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  •  保持安氏 I 类关系
  •  两侧的功能性尖牙引导
  • 实现正常覆盖和覆牙合
  •  深覆牙合已改善
  • 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 expansion performed because the arches were very atresic and there was not enough space
  • Lower and upper IPR performed to gain space for the correct alignment and leveling
  • When we started the expansions, the buccalization of the anterior teeth started to happen
  • I had difficulty when aligning teeth 1.1 and 2.1 and at that moment I lost the alignment adaptation. At this point, we entered into refinement.

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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