安氏 II 类 1 分类
,
Deep bite
,
牙弓不对称
,
上颌中线偏移
,
下颌中线偏移
,
中线移位
,
牙列拥挤
,
扭转

远中移动
,
压低
,
内收
,
First premolar extraction
,
Elastics: Class II in Additional Aligners
,
弹性牵引:垂直面
Courtesy of Dr. S. Okano, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 22
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 15 个月

矫治器数量

  • Maxillary: 68 + 22 = 90
  • Mandibulary: 65 + 22 = 87

Aligner Wear time

  • 5 days

保留

  • Maxillary: Invisalign aligner
  • Mandibular: Invisalign aligner

Results achieved

  • 达到安氏 I 类关系
  •  保持安氏 II 类关系
  •  两侧的功能性尖牙引导
  • Normal overjet and overbite achieved
  • Significant improvement ofoverbite
  • 中线对齐
  • 切牙达到合适的轴向倾斜
  • 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

  • Through the extraction of first premolars, we resolved the crowding in both upper and lower arches and corrected the upper and lower dental midline
  • Distalization on the lower left molars to achieve Class II relationship
  • In the additional aligners, sequential distalization was performed to improve Class II
  • We continued using Class II elastics (3/16 inch, 4.5 or 6.5 OZ) in the additional aligners
  • Precision bite lamp was effective in preventing the vertical bowing effect of the anterior teeth
  • Vertical elastics were used on the left molar for detailing

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