安氏 I 类
,
深覆盖
,
Deep bite
,
牙弓狭窄
,
中线移位
,
牙列拥挤
,
扭转

 平整 Spee 曲线
,
压低
,
扩弓
,
唇倾
,
邻面去釉
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 13 个月

矫治器数量

  • Maxillary: 20 + 21 + 17 = 58
  • Mandibulary: 20 + 21 + 17 = 58

Aligner Wear time

  • 1 周

Results achieved

  •  保持安氏 I 类关系
  •  两侧的功能性尖牙引导
  • Normal overjet and overbite achieved
  • 中线对齐
  •  Spee 曲线平整
  • 已对齐并协调牙弓
  • 已实现所有治疗目标

评论

  • Treatment plan was to expand both arches to improve the narrow arches
  • I planned an strategic IPR from lower 4 to lower 4 in order to compensate the Bolton discrepancy and be able to end up in a full Class I with centered midlines
  • Lower incisors intrusion was planned together with very mild proclination to correct the deep bite. 
  • One thing to have into account is the amount of IPR that is more than the recommended by align because, I didn't want to procline lower incisors too much in order to avoid anterior contacts, also the periodontal biotype is thin, but mainly because of the Bolton Index discrepancy which says there's an excess of dental material in the lower arch not only in the anterior sector but in the posterior.
  • The patient didn't accept a "lower incisor extraction".

Images

Initial and final

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进展

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upper
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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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