安氏 III 类
,
前牙反牙合
,
上颌中线偏移
,
中线移位
,
牙列拥挤

弹性牵引:安氏 III 类
,
Leveling curve of Spee
,
压低
,
扩弓
,
唇倾
,
邻面去釉
Courtesy of Dr T. Carlyle, 2019
Award 2018 Summit Shoot out
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 24
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 37 months

矫治器数量

  • Maxillary: 41 + 38 + 18 + 13 = 110
  • Mandibulary: 41 + 38 + 18 + 13 = 110

Aligner Wear time

  • Initial aligners 2 weeks then 10 days. Additional aligners 1 week

Results achieved

  • 达到安氏 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
  • 中线对齐
  • 切牙达到合适的轴向倾斜
  •  Spee 曲线平整
  • 已改善牙弓形状
  • Aesthetic smile linewas achieved

评论

  • Initial set of aligners were changed at 2 week intervals for 6 months, then switched to 10 rotations for each aligner after (32 of 44 were used)
  • Uitlization of mandibular bicuspid to bicuspid IPR and Class III elastics with buttons attached to maxillary first molars and mandibular canines with 3/16" 4.5 oz elastics; used 32 of 44 planned aligners
  • Second set of "additional aligners" were placed, microosteoperforations were utilized once in maxillary incisors and canines and aligners changed at weekly intervals
  • Later we switched to 3/16" 2 oz. elastics

Images

Initial and final

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upper
lower
right
front
left
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upper
lower
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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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Click to compare enlarged395