安氏 III 类
,
后牙反牙合
,
前牙反牙合
,
Deep bite
,
牙弓狭窄
,
中线移位
,
牙列拥挤
,
扭转

远中移动
,
压低
,
扩弓
,
唇倾
,
邻面去釉
,
弹性牵引:安氏 III 类
Courtesy of Dr K. Malekian, 2016
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 35 months

矫治器数量

  • Maxillary: 42 + 33 + 20 = 95
  • Mandibulary: 46 + 33 + 20 = 99

Aligner Wear time

  • Treatment aligner change every 14 days / Refinement aligner change every 7 days

保留

  • Maxillary: Vivera
  • Mandibular: Vivera

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
  •  前牙反牙合已矫正
  • 后牙反牙合已矫正
  • Normal overjet and overbite achieved
  •  深覆牙合已改善
  •  覆盖已改善
  • Significant improvement ofoverbite
  •  显著改善覆盖
  • 中线对齐
  • 切牙达到合适的轴向倾斜
  •  Spee 曲线平整
  • 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
  • Aesthetic smile linewas achieved
  • 已实现所有治疗目标
  • 实现牙弓协调

评论

  • Upper arch posterior bilateral expansion in order to correct the lateral cross-bite on the right side.
  • Upper Incisor proclination.
  • Conventional lingual bite ramps at lingual of UR1 and UL2 helped to intrude upper central incisors.
  • Aesthetic Start of lower anterior from L1 to L7. The patient achieves partial lower anterior alignment so becomes motivated and the compliance in wearing full time 22 hours aligners+class III elastics is guaranteed.
  • Lower Second Molar distalisation measurements : 3.4 mm distalisation of LR7 and 3.2 mm distalisation of LL7.
  • Sequential lower arch distalisation : " When the lower second molar has been distalized 50% of the total distalisation distance then the first Lower molars start to distalize ( this sequence is applied for lower second premolars, first premolars, canines and lower incisors )
  • Full time 22 hours Class III elastics + Aligner wear during total treatment time.
  • Intrusion of teeth UR1, UL1 was done in order to level upper incisor gingival margins and also to leave space for composite reconstruction of teeth UR1, UL1
  • Post Invisalign bleaching and composite reconstruction of incisal edges of teeth UR1, UL1 was done by our prosthodontist.

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 placeholder
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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