Maham musthafa orthontic fix braces case for post graduates -1.pptx

ortho case

1. LONG CASE PRESENTATION Presented by: Laiba Hayee Roll no:- 12

2. A female Patient, age 22 years, came to dental OPD with the complain,” That my teeth are irregular,upper teeth are displaced and croweded On extraoral examination he had a Straight profile with Normal vertical facial proportions and a symmetric facia appearance . Intraoral examinations showed incisor relationship class I , molars relation are class I On both sides and Canine relationship Out of arch or blocked out O verjet mm , overbite (30%) , midline normal , - 7mm crowding in upper arch and -5mm crowding in lower arch. Cephalometric analysis revealed skeletal class One relation with normal posterior facial height and Ectopic canines bilaterally Case Summary

3. Extraoral Photographs

4. Intraoral Photographs

5. Initials Maham musthafa Gender Female Date of Birth Age at start of treatment 20 years Relevant medical history None Relevant dental history None Other relevant information None Patient Details

6. Skeletal Anteroposterior: straight profile Skeletal Vertical: normal lower facial height Skeletal Transverse: Symmetrical Soft tissue Assessment: Competent lips Clinical Examination (Extra oral features)

7. Smile Assessment: Upper lip length: 26mm Lower lip length: 57mm Incisor show at rest: 4.5mm Gingival show at smile: none Smile arc: non-consonant TMJ Assessment: no TMDs, lateral excursion 6mm, mouth opening 54mm Clinical Examination (Extra oral features) conti …

8. Soft tissue: Oral hygiene: fair Erupted teeth present 8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8 8 7 6 5 4 2 1 1 2 3 4 5 6 7 8 General dental condition: fair Clinical Examination (intra oral features)

9. Maxillary arch: v shaped arch, -7mm crowding Mandibular Arch: v shaped arch, -5mm crowding Crowding/ Spacing

10. Incisor relationship: class I Overjet: mm Overbite: 30% Centerlines: Normal Canine relationship on both sides ,, out of arch or bocked out Molar relationship right side: Class I Molar relationship left side: Class I Displacements CO CR: None Other occlusal features: constricted lower arch Bolton Analysis (3-3):82.5%, 2.2 mm ma n excess Bolton Analysis (6-6): 89.8%, 1.6 mm max excess Absent Teeth: None Teeth of poor prognosis: None Occlusal features

11. All teeth present Pre-Treatment OPG

12. Lateral Ceph

13. Variables Normal Pre-treatment TO SNA 82° -/+ 2 87° SNB 80° +/- 2 83° ANB 0 +/- 4 4° Wits appraisal 1 +/- 0mm 1mm SNPP 6° +/- 4 5° SNMP 32° +/- 4 33° MM 25° +/- 4 27° FHMP 26° +/- 4 24 ° Face height ratio 54 % +/- 4 54% Jaraback ratio 65 % +/- 4 69.6% UISN 102° +/- 5 115 ° UIPP 108° +/- 5 111° LIMP 90° +/- 5 93 ° II 135° +/- 5 110 ° LI-A Pog 0mm -4 mm UL-E plane -3 +/- 2mm 3 mm LL-E plane -2 +/- 2mm mm NL Angle 102° +/- 8 83°

14. “skeletal class I with ANS I , upper incisor proclin ted with UI-SN 115 ° and normal posterior facial height” SAGGITAL: Class I SNA 87 ° , SNB 83°, ANB 4 ° , McNamara A -5mm, McNamara Pog -4mm VERTICAL: Jaraback 69.6%, facial axis 90 ° DENTAL: class I, incisor protrusion SOFT TISSUE; competent lips, NL Angle 83° INTERPRETATION AND JUSTIFICATION

15. Pathological problems: gingivitis and staininng Developmental / orthodontic problems: Skeletal: skeletal class I , upper incisor proclined Dental problems: protrusive max incisors Overbite 30% Molar Class I Canine out of arch or bocked out Crowding Upper arch -7mm, lower arch 5mm Overjet mm Problem List

16. OHI Obtain good facial balance Obtain optimal static and functional occlusion Relieve crowding in upper and lower arch correct overjet, rotations, Treatment Objectives

17. Nonsurgical, Extractions 4 4 4 4 Anchorage: crtical in upper arch maximum in lower arch Leveling and aignment Appliances: Additional dental treatment: -- Proposed retention strategy: lower fixed retainer Upper fixed form retainer option2) Nonsurgical, Extractions 5 5 5 5 Anchorage: crtical in upper arch maximum in lower arch Leveling and aignnemt Treatment plan option 1)