安氏 II 类 1 分类
,
后牙反牙合
,
深覆盖
,
 下颌后缩
,
Open bite
,
牙弓狭窄
,
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
,
牙列间隙
,
齿隙

弹性牵引:安氏 II 类
,
 平整 Spee 曲线
,
伸长
,
压低
,
扩弓
,
内收
,
邻面去釉
,
间隙闭合
,
第 II 阶段治疗
,
Elastics: Class II in Additional Aligners
Courtesy of Dr. K. Malekian, 2019
Before picture of treatment

Treatment Summary

Patient Information

  • Age: 30
  • Gender: female
  • Invisalign Submission Option: Invisalign Full

Total Treatment Time

  • 14个月

矫治器数量

  • Maxillary: 42 + 18 = 60
  • Mandibulary: 42 + 19 = 61

Aligner Wear time

  • Progressive Aligner Change Interval: 1 4 Days- 10 Days- 7 Days.

保留

  • Maxillary: Vivera retainer
  • Mandibular: Vivera retainer

Results achieved

  • 达到安氏 I 类关系
  •  保持安氏 I 类关系
  •  两侧的功能性尖牙引导
  • 后牙反牙合已矫正
  • Normal overjet and overbite achieved
  •  覆盖已改善
  •  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
  • 已实现所有治疗目标
  • 实现牙弓协调

评论

  • Upper incisor and canine Alignment
  • Lower incisor spacing closure
  • Retraction of upper and lower incisors and canine
  • Posterior expansion of upper and lower arch.
  • IPR upper arch: 0.5mm at upper molars, premolars, canines, incisors
  • IPR lower arch: 0.3mm at lower premolars, canine and incisors
  • Lingual root torque of upper and lower premolars and canines: individual tooth lingual torque was planned with the ClinCheck Pro feature
  • Relative extrusion of upper and lower incisors and canines was provided by retraction of upper and lower incisors and canine.
  • Extrusion of upper and lower incisors and canines was programmed to treat and correct the upper and lower reversed curve of Spee
  • Passive intrusion ( 1-2 mm ) of upper and lower molars and premolars with aligner wear
  • Full-time aligner wear and Class II elastics

Images

Initial and final

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upper
lower
right
front
left
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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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