安氏 II 类 1 分类
,
深覆盖
,
牙弓狭窄
,
中线移位
,
牙列拥挤
,
扭转

远中移动
,
 平整 Spee 曲线
,
伸长
,
压低
,
扩弓
,
唇倾
Courtesy of Dr E. Kim, 2024
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 8
  • Gender: male
  • Invisalign Submission Option: Invisalign First

矫治器数量

  • Maxillary: 29 + 25 = 54
  • Mandibulary: 29 + 25 = 54

Aligner Wear time

  • 1 周

保留

  • Maxillary: Fixed/Bonded
  • Mandibular: Fixed/Bonded

Results achieved

  • 达到安氏 I 类关系
  • 实现正常覆盖和覆牙合
  •  深覆牙合已改善
  •  覆盖已改善
  •  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
  • 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

评论

  • A patient with insufficient space for eruption of the permanent teeth and Class II malocclusion performed excellent treatment results with Invisalign First therapy including arch expansion and the alignment was performed simultaneously with upper and lower anterior teeth axis improvement with proper overjet and overbite.
  • Phase I orthodontic treatment including arch expansion, molar distalization, and decrowding with dental axis improvement was requested, as alignment and prevention of gingival recession for periodontal health.
  • If a general arch expansion device were used, gingival recession in the lower anterior teeth would have been more severe because a fixed appliance had to be attached after arch expansion, not simultaneously, as Invisalign clear aligners. However, since the Invisalign treatment was performed, the arch expansion and the tooth alignment were achieved while improving the axis of the upper and lower anterior teeth at the same time, so more severe gingival recession could be prevented.
  • In addition, the deep bite was improved by using the conventional bite ramp function on the lingual side, and better treatment results could be made through the efficient function of the power ridge feature to improve the lingual angulation of lower incisors.
  • The arch expansion was performed perfectly as in the initial treatment plan due to the efficient use of the optimized expansion attachment with the patient's good wearing coordination.
  • For posterior stable occlusion, it was promoted using optimized extrusion attachment.
  • This was a phase I treatment which will be continued with a phase II in the future with permanent dentition.

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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