安氏 I 类
,
前牙反牙合
,
切对切咬合
,
牙弓不对称
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转
,
牙列间隙
,
修复前

弹性牵引:安氏 II 类
,
 平整 Spee 曲线
,
压低
,
内收
,
其他拔牙
,
邻面去釉
,
间隙闭合
,
弹性牵引:垂直面
Courtesy of Dr S. Chieh Lin, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 34
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 29 个月

矫治器数量

  • Maxillary: 69 + 15 = 84
  • Mandibulary: 69 + 27 = 96

Aligner Wear time

  • 7days and 10 days

Results achieved

  •  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
  • Significant improvement ofoverbite
  •  显著改善覆盖
  • 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 I bi-maxillary protrusion case.
  • The ideal treatment plan would have been extraction of 1.4, 2.4, 3.4 and 4.4 with the use of G6 maximal anchorage protocol.
  • Because the patient is missing 1.5 and 3.6 and the minimal health condition of the teeth I decided to Extract 2.5 and 4.5.(both prosthesis) and close the spaces of 1.5,2.5, 3.6 ans 4.5 with maximal anchorage design.
  • This was a very difficult case that had an amazing result with the use of a combination aligners and Class II Elastics.
  • Vivera retainers finalize this treatment.

Images

Initial and final

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upper
lower
right
front
left
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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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