深覆盖
,
Open bite
,
牙弓狭窄
,
牙弓不对称
,
牙列拥挤
,
扭转

 平整 Spee 曲线
,
伸长
,
扩弓
,
内收
,
邻面去釉
,
弹性牵引:安氏 II 类
Courtesy of Dr K. Malekian, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 12
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 27 个月

矫治器数量

  • Maxillary: 42 + 33 + 17 = 92
  • Mandibulary: 42 + 27 + 17 = 86

Aligner Wear time

  • We started with 2 weeks, while treatment progressed we adjusted the wear time from 14 days to 10, then 7 and we ended with 5 day wear time.

Results achieved

  • 达到安氏 I 类关系
  •  保持安氏 I 类关系
  •  两侧的功能性尖牙引导
  • Normal overjet and overbite achieved
  •  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

  • Upper incisor retraction : Reduce anterior over jet
  • Relative anterior extrusion was achieved with upper anterior retraction.
  • Canine extrusion 1.3,2.3: Optimized extrusion attachments
  • Lower canine retraction and rotation
  • IPR ClinCheck personification
  • Class II elastics full time in order to achieve class I molar and canine
  • Extrusion of upper and lower anterior incisors and canines : Optimized extrusion attachments

Images

Initial and final

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upper
lower
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left

进展

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upper
lower
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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