安氏 III 类
,
Open bite
,
中线移位
,
牙列拥挤
,
扭转

弹性牵引:安氏 III 类
,
近中移动
,
伸长
,
压低
,
扩弓
,
邻面去釉
Courtesy of Dr M. Pedernera, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 26
  • Gender: female
  • Invisalign Treatment Option: Invisalign Full

Total Treatment Time

  • 20个月

矫治器数量

  • Maxillary: 28 + 17 + 17 = 62
  • Mandibulary: 28 + 17 + 17 = 62

Aligner Wear time

  • 1 周

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
  • 已对齐并协调牙弓
  • Aesthetic smile linewas achieved
  • 已实现所有治疗目标

评论

  • The chief concern was that it the patient was not able to bite properly (through food) with the anterior teeth.
  • The patient didn't accept the use of TAD's so she challenged me and asked me to try with anterior extrusion and posterior intrusion with the help of chewies
  • The patient moved to another country during treatment.
  • My treatment plan was to expand both arches to improve the narrow arch situation
  • In the first Clincheck I asked to close the anterior open bite through Anterior Extrusion, combined with posterior intrusion and it worked just perfect.
  • I ordered the extraction of all wisdom teeth, and that has reduced the open bite significantly, allowing the premolars and anterior teeth to contact for the first time in her life
  • Once we arrived in the final stage of additional aligners (last 4 aligners), there was an issue with 1.2 and 2.2 not fitting well
  • I've managed to force eruption with buttons and elastics as you can see in the intermediate pictures
  • The orthodontic treatment was combined with a lingual reeducation working hand to hand with a Speech Therapist
  • We finalized the treatment with fixed retainers from cuspid to cuspid and Vivera retainers on top and bottom.

Images

Initial and final

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front
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进展

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upper
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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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