安氏 II 类 2 分类
,
深覆盖
,
Deep bite
,
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

远中移动
,
伸长
,
压低
,
扩弓
,
弹性牵引:安氏 II 类
Courtesy of Dr S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 23
  • Gender: female
  • Invisalign Submission Option: Full

Total Treatment Time

  • 20个月

矫治器数量

  • Maxillary: 33 + 19 = 52
  • Mandibulary: 20 + 19 = 39

Aligner Wear time

  • 10 days first round and 7 days in additional aligners

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
  •  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

  • This is a Class II div2 subdivision case combined with facial asymmetry.
  • The patient wanted a better smile and asked for correction of her gummy smile, deep bite, crowding and rotated teeth.
  • Due to her good lateral profile, I decided to do a treatment without extraction.
  • I designed sequential distalization over Q2, with an elastic jump at the end to correct Class II to Class I over L't side.
  • Gummy smile and deepbite are corrected by intrusion of upper and lower incisors.
  • 2.4 Rotation is corrected with optimized rotation attachment for 60 degree rotation.
  • L't side Class II elastics for anchorage and elastic jump.
  • Total Tx time is 20M.

Images

Initial and final

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进展

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upper
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right
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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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