安氏 I 类
,
安氏 III 类
,
牙弓狭窄
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转

远中移动
,
近中移动
,
 平整 Spee 曲线
,
伸长
,
压低
,
扩弓
,
唇倾
,
弹性牵引:安氏 II 类
Courtesy of Dr M. Pedernera, 2018
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 13
  • Gender: female
  • Invisalign Submission Option: Invisalign Teen

Total Treatment Time

  • 28 个月

矫治器数量

  • Maxillary: 50 + 16 + 21 = 87
  • Mandibulary: 50 + 16 + 21 = 87

Aligner Wear time

  • Every 2 weeks the first set of aligners and every week in the 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
  • 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

  • To create space for a future implant in the zone of 4.5 I planned on distalizing 4.6 and 4.7
  • Mesialization on 4.4, 4.3 created the opportunity tocorrect the lower midline and upright the tipped lower incisors
  • The space for the eruption of 3.5 was bigger than needed therefor we distalized 3.4 and 3.3 in order to create a more organic space
  • To solve the deep bite I planned intrusion of lower anterior teeth and intrusion on 3.7 and 4.7, with mild extrusion of lower premolars and first molars.
  • To help with the intrusion we used precision bite ramps in palatal of 1.2, 1.1, 2.1 and 2.2.
  • Upper jaw sequenced expansion by 1/2 protocol and expansion of the posterior teeth
  • De-rotation of 1.6 and 2.6 before aligning the anterior teeth and retruding them
  • The cooperation of the patient during the hole treatment was absolutely fantastic

Images

Initial and final

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进展

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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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