安氏 II 类 1 分类
,
后牙反牙合
,
深覆盖
,
牙弓不对称
,
下颌中线偏移
,
中线移位
,
牙列间隙

远中移动
,
 平整 Spee 曲线
,
伸长
,
压低
,
扩弓
,
内收
,
邻面去釉
,
间隙闭合
,
弹性牵引:安氏 II 类
,
弹性牵引:安氏 III 类
Courtesy of Dr V. Laoamata, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 21
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 个月

矫治器数量

  • Maxillary: 44 + 26 = 70
  • Mandibulary: 44 + 26 = 70

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
  • 后牙反牙合已矫正
  • 实现正常覆盖和覆牙合
  •  覆盖已改善
  •  显著改善覆牙合
  • 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

  • Missing of lower canines made this case encountered Bolton's discrepancy problem.
  • Lower first premolars were used as the canine substitution and IPR was performed in lower anterior part to correct Bolton's discrepancy and be able to achieve Class I relationship with normal overjet and overbite.
  • Invisalign system is a good appliance for controlling anchorage, therefore distalization in upper arch to achieve Class I relationship position and lower posterior expansion to corrrect arch asymmetry and Brodie bite on the right side were done succesfully.

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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