安氏 III 类
,
前牙反牙合
,
深覆盖
,
Open bite
,
中线移位
,
牙列拥挤
,
扭转

远中移动
,
伸长
,
扩弓
,
内收
,
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: 19
  • Gender: male
  • Invisalign Submission Option: Full

Total Treatment Time

  • 25 months

矫治器数量

  • Maxillary: 40 + 18 = 58
  • Mandibulary: 40 + 18 = 58

Aligner Wear time

  • Treatment aligner cahnghae 14 days Refinement aligner change 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
  • Normal overjet and overbite achieved
  •  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
  •  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

  • Aesthetic Start in the lower arch from L1-L9. The purpose is to achieve partial alignment of lower anterior teeth in order to motivate the patient so during the course of lower distalisation from L9-L40 there is more compliance wearing full time 22 hours aligners and class III elastics.
  • Expansion of upper maxilla and simultaneous retraction of UL1.
  • Lower distalisation as main strategy technique in order to solve the dental class III molar and canine into class I molar and canine.
  • Precision cuts at UR6 and UL6 for Class III elastics.
  • Full time Class III and aligner wear during total treatment time.
  • Once the lower 2nd molars stop distalisation at stage 16, beveled attachment is placed at the buccal surface in order to avoid anchorage loss in the lower arch.
    7.Once the lower 1st molars ,2nd and 1st premolars stop distalisation ...at that stage beveled attachment is placed at the buccal Surface in order to avoid anchorage loss in the lower arch.

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

进展

Click to compare enlarged
upper
lower
right
front
left
初始状态治疗后
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

X光片

初始状态
Click to compare enlarged397