安氏 III 类
,
后牙反牙合
,
前牙反牙合
,
切对切咬合
,
Open bite
,
牙弓狭窄
,
牙弓不对称
,
上颌中线偏移
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转

 平整 Spee 曲线
,
伸长
,
压低
,
扩弓
,
内收
,
邻面去釉
,
第 II 阶段治疗
,
弹性牵引:安氏 III 类
Courtesy of Dr. K. Malekian  , 2023
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 33
  • Gender: male
  • Invisalign Submission Option: Invisalign Comprehensive

矫治器数量

  • Maxillary: 32 + 13 = 45
  • Mandibulary: 32 + 13 = 45

Aligner Wear time

  • Sequential Aligner Change Interval 14 Days-10 Days-7 Days.

保留

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • 达到安氏 I 类关系
  •  保持安氏 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
  •  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

  • Maxillary expansion with upper teeth alignment and arch development was performed.
  • The upper first molar crossbite was corrected with maxillary expansion.
  • Upper incisor retraction was planned during upper arch expansion to correct the excessively proclined upper incisors.
  • During upper incisor retraction, lingual root torque of the upper incisors was performed.
  • Posterior IPR was planned for the lower premolars and canines to achieve space for retraction of severely rotated and mesially tipped lower canines.
  • Lower arch IPR at lower incisors, canines, and premolars permitted space to retract lower incisors to achieve overjet.
  • G4 multitooth extrusion attachments were planned to extrude upper incisors and canines to close the anterior open bite.
  • Full-time wear of aligners (22 hours) with Class III elastics was used to correct the class III molar and canine and achieve class I molar and canine.
  • G3 optimized rotation attachments helped to correct the severe rotation of lower canines.
  • Tipping of lower central incisors was planned.
  • Power ridges at lower incisors helped to correct lingual root control direction.

Images

Initial and final

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upper
lower
right
front
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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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