安氏 II 类 2 分类
,
前牙反牙合
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牙弓狭窄
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牙弓不对称
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下颌中线偏移
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中线移位
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牙列拥挤
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扭转

近中移动
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压低
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内收
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First premolar extraction
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其他拔牙
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邻面去釉
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间隙闭合
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第 II 阶段治疗
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弹性牵引:安氏 II 类
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拔牙
Courtesy of Dr H. Watabe, 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 36
  • Gender: female
  • Invisalign Submission Option: Invisalign Comprehensive

Total Treatment Time

  • 16 个月

矫治器数量

  • Maxillary: 34 + 22 = 56
  • Mandibulary: 45 + 15 = 60

Aligner Wear time

  • 1 周

保留

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • 达到安氏 I 类关系
  •  保持安氏 II 类关系
  •  两侧的功能性尖牙引导
  •  前牙反牙合已矫正
  • 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

  • Extracted 14, 24,35.
  • The lower midline was shifted 4 mm to the left.
  • Staging of retraction used simultaneous movements.
  • Treatment period for initial aligners was 11 months.
  • Initial aligners: continued using Class II elastics (3/16 inch, 6.0 OZ ) on the right side and Class II elastics (3/16 inch, 4.5 OZ ) on the left.
  • 额外的对齐者: Triangle elastics (3/16 inch, 4.5 OZ) were used on both sides.

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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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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