安氏 II 类 1 分类
,
下颌中线偏移
,
牙列拥挤
,
扭转

弹性牵引:安氏 II 类
,
近中移动
,
内收
,
其他拔牙
,
First premolar extraction

治疗信息

  • 年龄: 13
  • 性别:
  • Invisalign治疗选项: Invisalign Full

诊断概要

  • 安氏 II 类 1 分类
  • 下颌中线偏移
  • 牙列拥挤
  • 扭转

用于

  • 近中移动
  • 拔牙
  • 内收
  •  拔除第一前磨牙
  • 弹性牵引:安氏 II 类
  • Power ridge feature (G3) on Buccal 2.1 (UL1)
  • Optimized root control attachments (G4) on Buccal 2.2 (UL2), Buccal 4.3 (LR3), Buccal 3.3 (LL3)
Courtesy of Dr. J. Xiao 2019

相片

Click to compare enlarged
upper
初始状态
lower
right
front
left
Click to compare enlarged
upper
治疗后
lower
right
front
left
Click to compare enlarged
upper
进展
lower
right
front
left

X光片

ClinCheck治疗计划

video anterior
video right-left
video upper-lower
Download ADF files
初始状态
附加矫治器

治疗总结

实现的结果

  • 达到安氏 I 类关系
  •  两侧的功能性尖牙引导
  • 实现正常覆盖和覆牙合
  • 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
  • 已获得美观的微笑线 
  • 已实现所有治疗目标

总的治疗时间

  • 32 个月

矫治器数量

  • Maxillary: 37 + 51 = 88
  • Mandibular: 37 + 51 = 88

矫治器配戴时间

  • initial aligners 2 weeks, additional aligners 7-10 days

评论

  • The Invisalign aligners was a good choice for space closure and alignment, but the vertical relationship was at risk
  • At the end of the initial treatment, we could see an overbite
  • We used one refinement to intrude the incisors and simultaneous overcorrection of anterior
  • Power ridges were used to control the inclination of the upper central incisors and lower incisors
  • After the refinement, all treatment goals were achieved and the patient gained a beautiful profile

保留

  • Maxillary: Other clear
  • Mandibular: Other clear