安氏 III 类
,
前牙反牙合
,
切对切咬合
,
牙弓狭窄
,
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
,
弹性牵引:垂直面
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 9
  • Gender: female
  • Invisalign Submission Option: Teen

Total Treatment Time

  • 24个月

矫治器数量

  • Maxillary: 20 + 37 + 15 = 72
  • Mandibulary: 20 + 37 + 15 = 72

Aligner Wear time

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

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
  • 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
  • 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. The main goal at the initial Clincheck was to expand and distal upper left molars and premolars in order to open space for canines 13,23.We successfully achieved this goal.
    2. At refinement we used class III elastics and Multi-Extrusion G4 attachments for open bite closure, and Class III elastics to achieve class I molar and canine.
    3. Geometric pontics were placed for teeth 13, 23, 25. During staging the mesio-distal width of pontics 13,23,25 increased in order to allow enough space for eruption.
    4. Canines 13, 23 erupted during treatment period with high angle rotation placed, optimized rotation attachments at refinement period
    5. Multi-Tooth Extrusion Attachments were used at upper and lower incisors and canines for open bite closure.
    6. Class III Elastics were used in order to go from class III into class I molar and canine bilateral

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 治疗后
Click to compare enlarged379
Click to compare enlarged391