Treatment Summary
Patient Information
- Age: 35
- Gender: male
- Invisalign Submission Option: Invisalign Full
Total Treatment Time
- 19 个月
矫治器数量
- Maxillary: 40 + 12 + 10 = 62
- Mandibulary: 40 + 18 + 19 = 77
Aligner Wear time
- 1 周
保留
- Maxillary: Fixed/Bonded
- Mandibular: Fixed/Bonded
Results achieved
- 保持安氏 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
- 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
- The treatment goals were to retract the upper incisors concomitant with the closure of the excess spaces and midline diastema
- The space closure in the upper arch was achieved through simultaneous retraction and closure of all the spaces between the incisors
- In the lower arch, in view of the large diastema, sequential tooth movement was planned with the movement of the lower central incisors first, in order to create space on either side of the central incisors
- Once sufficient space was created, all the spaces were simultaneously closed together with retraction of the incisors
- The case was monitored for the need for elastics wear, although there were not required as a result of favorable space approximation and retraction of the incisors
- the spaces at the final outcome were not entirely closed, though the Clincheck does point towards full closure of all the spaces
- One of the main reasons that the spaces could not be closed was that the initial tooth-size/arch length discrepancy was too significant as can be observed by the initial large gaps in the anterior segments
- Complete closure would have produced an excellent outcome for this case but the present outcome is still highly satisfactorily considering the initial position of the teeth
- I submitted this case, in order to illustrate that with the proper staging of tooth movement, good control of tooth positions can be achieved with the Invisalign aligner system and closure of large spaces can be done
- The gingival response was excellent as once the lower incisors were in their proper position, the gingiva seemed ’to grow back’
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