安氏 III 类
,
切对切咬合
,
Open bite
,
中线移位
,
牙列拥挤
,
扭转
,
牙列间隙
,
修复前

远中移动
,
近中移动
,
 平整 Spee 曲线
,
伸长
,
压低
,
内收
,
其他拔牙
,
邻面去釉
,
间隙闭合
,
修复
,
种植体
,
Veneers
,
弹性牵引:垂直面
,
拔牙
Courtesy of Dr V. Laoamata, 2021
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 58
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 28 个月

矫治器数量

  • Maxillary: 40 + 22 + 17 = 79
  • Mandibulary: 22 + 25 + 17 = 64

Aligner Wear time

  • 1 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
  •  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
  • 通过去扭转对齐上下牙弓
  • 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

  • This patient had a mesiodens between 1.1 and 2.1 and had previously camouflage space by porcelain fuse to metal crown on the mesiodens.
  • The crown became unesthetic appearance later and this mesiodens had been planned to be extracted.
  • Treatment objectives were to close all spaces except the space of missing 3.6.
  • We planned an opening for implant supported crown.
  • Moreover, the incisal edges of 1.1 and 2.1 were worn apparently due to the bad bite at the anterior part before orthodontic treatment, so we planned for the restoration of 1.1 and 2.1 by dental veneer after finishing the Invisalign treatment.
  • All spaces were closed successfully.
  • The dental veneer on 1.1 2.1 and the implant-supported crown were installed before scanning for vivera retainer.

Images

Initial and final

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upper
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front
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upper
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right
front
left

进展

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upper
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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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