安氏 I 类
,
安氏 III 类
,
上颌中线偏移
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转

远中移动
,
扩弓
,
拔除下颌切牙
,
邻面去釉
,
种植体
,
弹性牵引:安氏 III 类
,
弹性牵引:垂直面
Courtesy of Dr L. Chin Chou, 2022
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 39
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 26 months

矫治器数量

  • Maxillary: 41 + 35 + 22 = 98
  • Mandibulary: 39 + 14 + 9 = 62

Aligner Wear time

  • 1 周

保留

  • Maxillary: Other clear
  • Mandibular: Other clear

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
  • 后牙反牙合已矫正
  • 实现正常覆盖和覆牙合
  • 中线对齐
  • 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

  • During the first phase, upper right sequential distalization didn't go well so the occlusion became open bite by occlusal interference.
  • I put a TAD between #15 #16 with elastic to help distalization in AA1 and resolve the open-bite problem.
  • We should note that during face 3 incisor's extraction, we did put attachments between the extraction site.

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
right
front
left

进展

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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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