安氏 I 类
,
深覆盖
,
Deep bite
,
牙弓狭窄
,
上颌中线偏移
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转
,
修复前

远中移动
,
近中移动
,
 平整 Spee 曲线
,
压低
,
扩弓
,
唇倾
,
邻面去釉
,
修复
,
种植体
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 47
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 个月

矫治器数量

  • Maxillary: 28 + 25 + 14 = 67
  • Mandibulary: 28 + 25 + 14 = 67

Aligner Wear time

  • 2 weeks at the beggining of the treatment and every 1 week until the end

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
  • 中线对齐
  •  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

评论

  • This case was challenging taking into account the amount of mm of overbite
  • The main issue was to solve the crowding of the lower teeth and creating at least 7 mm of space for the implant of 1.5
  • The treatment plan was to expand both arches
  • In the first Clincheck I requested to mesialize the 1.4 and 1.3, adding IPR to the upper left quadrant in order to obtain space for the mesialization and also to center the upper mid-line to the left
  • Because the excess of Bolton 6 in the lower arch I applied IPR to compensate this
  • During the treatment 2.8 was extracted because of premature contacts with extruded 3.8
  • Patient was advised to extract all of them, but at this time, the patient is not ready to consent

Images

Initial and final

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lower
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upper
lower
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进展

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upper
lower
right
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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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