安氏 I 类
,
牙弓不对称
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转
,
牙列间隙

近中移动
,
 平整 Spee 曲线
,
伸长
,
压低
,
扩弓
,
内收
,
First premolar extraction
,
邻面去釉
,
间隙闭合
,
弹性牵引:安氏 II 类
,
Elastics: Class II in Additional Aligners
,
弹性牵引:安氏 III 类
,
弹性牵引:垂直面
,
拔牙
Courtesy of Dr B. Wang, 2022
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: 76 + 30 + 24 = 130
  • Mandibulary: 76 + 30 + 24 = 130

Aligner Wear time

  • 1 周

保留

  • Maxillary: Hawley
  • Mandibular: Hawley

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
  • 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

1. Both upper and lower 1st premolars as well as 18, 28 and 38 were extracted and maximum anchorage was designed to help correct skeletal bimaxillary protrusion
2. 38 was used to replace 37, segmental archwire technique was used for a short time during 38 mesialization and space closure between 37 and 38
3. Power ridge design was used in both upper and lower anterior teeth to help prevent periodontal iatrogenic sequelae such as further gingival recession and additional bone loss during orthodontic treatment
4. Premolars extrusion combined with anterior teeth intrusion to help level the curve of spee
5. Both upper and lower dental arch were reshaped and coordinated
6. IPR was performed to help correct Bloton discrepancy in upper and lower anterior region as well as reduce black triangle in upper and lower anterior teeth
7. Different kinds of elastics were used to help anchorage control and final occlusion detailing

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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