安氏 III 类
,
后牙反牙合
,
前牙反牙合
,
牙弓狭窄
,
牙弓不对称
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转

远中移动
,
 平整 Spee 曲线
,
伸长
,
扩弓
,
唇倾
,
弹性牵引:安氏 II 类
,
弹性牵引:安氏 III 类
Courtesy of Dr. S. Chieh Lin, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 27
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 32 个月

矫治器数量

  • Maxillary: 38 + 20 + 20 = 78
  • Mandibulary: 47 + 17 + 14 = 78

Aligner Wear time

  • 7 -10 days

保留

  • Maxillary: Vivera
  • Mandibular: Vivera

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
  • 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
  • 已实现所有治疗目标
  • 实现牙弓协调

评论

  • This is a skeletal Class III asymmetric case with Class III malocclusion, crossbite, crowding, and rotation
  • We created space with expansion on the upper arch
  • Space for the lower arch was gained with both distalization and expansion
  • We found Invisalign very effective for arch expansion
  • During sequential distalization we used Class III elastics as anchorage
  • Through digital ClinCheck design, we were able to determine more precisely how to create and manage space for the implant

Images

Initial and final

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lower
right
front
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upper
lower
right
front
left

进展

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upper
lower
right
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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