安氏 III 类
,
前牙反牙合
,
切对切咬合
,
Open bite
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转
,
牙列间隙

伸长
,
远中移动
,
 平整 Spee 曲线
,
内收
,
邻面去釉
,
间隙闭合
Courtesy of Dr E. Rothier, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 64
  • Gender: male
  • Invisalign Submission Option: Full

Total Treatment Time

  • 11个月

矫治器数量

  • Maxillary: 44
  • Mandibulary: 44

Aligner Wear time

  • 1 周

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
  • Normal overjet and overbite achieved
  • 中线对齐
  •  Spee 曲线平整
  • 已对齐并协调牙弓
  • Aesthetic smile linewas achieved
  • 已实现所有治疗目标
  • 实现牙弓协调

评论

  • Although tooth 4.6 is an implant, we decided to avoid movement in some other teeth: 4.7, 3.7, 3.6, 3.5, 3.4, 3.3, 1.6, 1.7, 2.4, 2.5, 2.6 and 2.7.
  • The 4.6 implant was used as an anchorage for the retraction of the right and lower anterior teeth.
  • The anterior midline deviation was corrected using asymmetric interproximal reduction keeping the upper midline in position and moving the lower midline right, so we avoided the use of interproximal elastics in this case.
  • The lower anterior interproximal reduction was used to remove heavy anterior contact points and correct the edge to edge bite.
  • Despite having a diastema between some tooth (4.6 and 4.5 // 4.5 and 4.4 // 4.4 and 4.3) we requested an 0.3 mm IPR.
  • The goal was to reach an overcorrection to close the diastema, and ensure a stronger point of contact.

Images

Initial and final

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upper
lower
right
front
left
Click to compare enlarged
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
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