安氏 II 类 1 分类
,
深覆盖
,
Deep bite
,
牙弓狭窄
,
牙弓不对称
,
下颌中线偏移
,
牙列拥挤
,
扭转

远中移动
,
 平整 Spee 曲线
,
伸长
,
压低
,
扩弓
,
内收
,
邻面去釉
,
弹性牵引:安氏 II 类
Courtesy of Dr K. Sung Chung, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 51
  • Gender: female
  • Invisalign Submission Option: Invisalign Lite

Total Treatment Time

  • 10 个月

矫治器数量

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

Aligner Wear time

  • Initial aligner changed at 2 weeks for a month then changed at 10 days interval.

Results achieved

  • 达到安氏 I 类关系
  •  两侧的功能性尖牙引导
  • Significant improvement ofoverbite
  •  显著改善覆盖
  • 中线对齐
  • 切牙达到合适的轴向倾斜
  • Curve of Spee leveled
  • 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
  • 实现牙弓协调

评论

  • Class II canine and molar relationships were corrected to class I relationship with distalization of upper molars and class II elastics
  • Overjet was significantly reduced by retraction of upper incisors
  • Deep bite was reduced by significant intrusion of upper and lower incisors and a slight extrusion of lower premolars
  • Bolton maxillary excess was decreased by performing IPR in the maxillary arch
  • Lip protrusion was reduced by retraction of upper incisors
  • A new implant crown was placed on 36 ( lower left first molar) after orthodontic treatment
  • The reason why clinical outcome didn't have an exact match with the ClinCheck is that I over-engineered ClinCheck plan, especially over-treated deep overbite in this case. Patient was very satisfied with the treatment outcome

Images

Initial and final

Click to compare enlarged
upper
lower
right
front
left
Click to compare enlarged
upper
lower
right
front
left

进展

Click to compare enlarged
upper
lower
right
front
left
初始状态治疗后
Before picture of treatment
After picture of treatment
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged
Thumbnail, click to compare enlarged Thumbnail, click to compare enlarged

X光片

初始状态 治疗后
Click to compare enlarged397
Click to compare enlarged391