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an Example for Orthodontic case presentation
- 1. Mohammad Reza Vatankhah A. professor: Dr. Heidarpour ORTHODONTIC CASE PRESENTATION
- 2. Age: 12 yr Occupation: Student Chief complaint: protrusive upper jaw Motivation: External Height: 153 cm Weight: 37 Kg
- 3. Family history: body form problems in father Serious illness: controlled mild asthma Birth: natural Medical history
- 4. Extraoral findings Frontal and transverse analysis: Head form: dolicocephalic Facial form: leptoprosopic Facial index: Lower facial height:
- 5. Frontal and transverse analysis
- 6. Frontal and transverse analysis: • incompetent lips at rest • Short upper lip, everted lower lip • Non-exposed gingiva • Normal mentolabial sulcus
- 7. Frontal and transverse analysis: • Tooth display at smile: 8 mm • Buccal corridor width: narrow • Smile arc: non consonant
- 8. Profile analysis: • Profile: convex • Maxilla: retruded • Mandible: retruded • Mentolabial sulcus: normal • Chin prominency: retruded
- 9. Intraoral Findings (Intra-arch) Arch form: Upper: tapered Lower: tapered Arch symmetry: Upper arch: no Lower arch: no Space discrepancy :Upper arch: 3.8 mm Lower arch: 8.25 mm Arch width: Anterior: 49 (Ideal: 47) 54.4 (Ideal: 61.6) Curve of Spee: Upper arch: N Lower arch: N
- 10. Intraoral Findings (Intra-arch) Tonn formula: mild discrepancy Actual: 80.15 Normal: 81.16 Bolton analysis: Overall: 89% < Normal = 91.3% (bigger maxillary teeth) Anterior: 72.5% < Normal = 77.2% (bigger incisors)
- 11. • Molars relationship: – R: CL II – L: CL II • Canine relationship: – R: CL II – L: CL II • Incisor inclination: – U1-SN : 111 – IMPA: 103.5 • Overjet: 11 mm • Overbite: 9 mm
- 12. • Hygiene: weak • Freni: Normal • Tongue size, position, function: Normal
- 15. Norms Pt’s Values FH-SN 7 5.5 Saddle 123 120.5 Articular 143 152 Gonial 130 121 Sum 394 393.5 Basal angle 25 22 Mand. plane 34 25 Jaraback 62-65% 68.5% Y-axis 66 73 Pn-Pal(Incl.a) 85 87.5 Occ plane to SN 14.4 14.5
- 16. Norms Pt’s Values SNA 81 83.5 SNB 79 74.5 ANB 2 8 SN-Pog 80 74.5 Wits -1 +2 CL II
- 17. Norms Pt’s Values U1-SN 102 110 L1-MeGo 90 103.5 U1-L1 135 139 U1- NA +4 +5 L1- NB +4 +4.5 Lab sup. -1_ -4 +1 Lab inf. 0 _ +2 +2
- 18. Norms Pt’s Values SeN 67 Mandible SeN+3 (70) 67 Maxilla 2/3 mandible (44.6) 54 mm Ramus 5/7 mandible ( 50) 53 mm
- 19. Diagnosis - vertical dimension ■ Excessive overbite ■ Normal face height
- 20. Diagnosis - sagittal dimension ■ CL II dental and skeletal malocclusion ■ Increased overjet
- 21. Diagnosis - horizontal dimension ■ Dental crossbite on right side
- 22. Tx. plan ■ Twin block removable appliance – Aim: to protrude mandible functionally – Plus screw in maxillary appliance for further expansion of maxilla