安氏 II 类 2 分类
,
Deep bite
,
牙弓狭窄
,
中线移位
,
牙列拥挤

弹性牵引:安氏 II 类
,
远中移动
,
伸长
,
压低
,
扩弓
,
唇倾
,
邻面去釉
Courtesy of Dr M. Pedernera, 2017
Award 2018 Peer Review Awards
Before picture of treatment

优秀 治疗方案

Dr M. Pedernera

We would like to congratulate Dr. Pedernera with winning the 2018 EMEA Peer Review Awards!

Dr M. Pedernera

Treatment Summary

Patient Information

  • Age: 25
  • Gender: female
  • Invisalign Treatment Option: Full

Total Treatment Time

  • 19 个月

矫治器数量

  • Maxillary: 34 + 14 = 48
  • Mandibulary: 26 + 14 = 40

Aligner Wear time

  • At the start of the treatment every 2 weeks, gradually changed to 1 week

保留

  • Maxillary: Vivera
  • Mandibular: Vivera

Results achieved

  • 达到安氏 I 类关系
  •  两侧的功能性尖牙引导
  • Normal overjet and overbite achieved
  •  深覆牙合已改善
  • 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
  • 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

  • This case was an Advanced case and was a good challenge for me.
  • The main issue was to solve the crowding of the upper teeth and the high position of 1.2, as well correct the sagital problem.
  • My plan was to distalize the upper arch using the 1/2 protocol and moving a maximum of two teeth at the time, with an aesthetic beginning proclining the upper incisors.
  • For increased anchorage I used Class II elastics.
  • Also made expansion of both the upper and lower to improve the buccal corridors due to the narrow arches, at the same time in the first Clincheck I manage to create extrusion of 1.2.
  • In my opinion one of the important things in this case was taking the bite records and pictures of the initial situation by centering the mandible (centering the midlines) and setting the starting point of the treatment from this position.
  • This helped to reduce the number of aligners for the first stage.
  • The extraction of the four third molars was done before starting the treatment.
  • A very short phase of additional aligners was necessary to finish the treatment with a beautiful and functional occlusion.
  • The patients cooperation during the treatment was 10 out of 10.

Images

Initial and final

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front
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upper
lower
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front
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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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