安氏 II 类 1 分类
,
Open bite
,
牙弓不对称
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转

伸长
,
压低
,
唇倾
,
邻面去釉
,
弹性牵引:安氏 II 类
,
Elastics: Class II in Additional Aligners
,
弹性牵引:垂直面
Courtesy of Dr M. Hiroce, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 个月

矫治器数量

  • Maxillary: 25 + 24 + 10 = 59
  • Mandibulary: 25 + 24 + 10 = 59

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
  •  覆盖已改善
  • 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

  • The challenge with this treatment was to correct occlusal cant by intruding posterior Q1 teeth.
  • Extruding posterior q2 teeth, closed then the anterior and posterior open bite.
  • Also, this movement allowed a counterclockwise mandibular rotation.
  • The procedure solved a Cl II skeletal relationship, as can be seen in the final patient profile.

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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