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

弹性牵引:安氏 III 类
,
远中移动
,
 平整 Spee 曲线
,
伸长
,
扩弓
,
唇倾
,
邻面去釉
,
第 II 阶段治疗
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

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

Total Treatment Time

  • 23 个月

矫治器数量

  • Maxillary: 31 + 16 + 15 = 62
  • Mandibulary: 31 + 17 + 15 = 63

Aligner Wear time

  • Progressive Aligner change 14 day-10 day-7 day interval based on complexity of movements and patient compliance.At refinement 7 day aligner change interval.

保留

  • Maxillary: n

Results achieved

  • 达到安氏 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
  •  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

    • 1. Sequential Lower distalization protocol with aesthetic start motivation.
      2. Lower arch sequential distalization permits us to achieve space in the lower arch and go from Class III molar and canine into Class I molar and canine.
      3. Lower arch sequential distalization allowsus to obtain overjet in order to correct the anterior crossbite and to torque lower incisors lingually.
      4. Lower arch sequential distalizationallows us to achieve over-jet in order to correct the upper and lower incisor angulation and achieve 131 degrees final interincisal angle.
      5. From L1 to L6 we achieve partial lower anterior alignment which motivates the patient in order to have high compliance during the period of 8-10 months of sequential lower arch distalization.
      6. Upper Arch Posterior Expansion in order to correct lateral cross-bite.
      7. Upper Anterior proclination in order to correct anterior cross-bite.
      8. Full time aligner and class III elastics ( 22 hours/day)
      9. Root Control Attachment Upper right central (11): Tipping root distally

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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