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Case Presentation
 DR Syed Usama Shayan H.O
 NISHTER INSTITUTE OF DENTISTRY MULTAN…
PATIENT BIODATA
PATIENT NAME AGE/SEX ADDRESS
Romaisa Kashaf 18 yrs. Fe-Male Layyah
MEDICAL HISTORY
 Patient is not diagnosed with any medical and congenital disorder
FAMILY HISTORY
 Patient has no family history
SOCIAL AND BEHAVIORAL STATUS
 Patient can afford the treatment and has an external
motivation for the treatment
DENTAL HISTORY
 NO past dental history
CLINICAL EXAMINATION(EXTRAORAL)
HEAD FORM brachycephalic SK.SYMMETRY symmetrical
FACIAL FORM convex MAX. IN LAT. PROGNATHIC
LIP POSTURE Protruded MAN. IN PROGNATHIC
LIP COMPETENCE Incompetent GROWTH
PATTERN
Normal
FRONTAL VIEW ON SMILE
LATERAL VIEW
OBLIQUE VIEW
INTRA-ORAL EXAMINATION
 MOLAR RELATION : RIGHT : CLASS1
LEFT: CLASS 1
 CANINE RELATION : RIGHT : CLASS1
LEFT: CLASS 1
 INCISOR RELATION : CLASS 2 Div 1
INTRA-ORAL
INTRA-ORAL VIEW
ARCH PERIMETER ANALYSIS
 ALD:
 MAXILLA: 5mm
 MANDIBLE: -7mm
CEPHALOMETRIC ANALYSIS (skeletal)
 SAGITTAL ANALYSIS
 <SNA = 81’
 <SNB = 77’
 <ANB = 4’
 FACIAL ANGLE = 78’
 ANTERIOR CRANIAL BASE LENGTH (x) = 63mm
 MANDIBULAR CORPUS LENGTH (MCL) = 68mm
VERTICAL ANALYSIS
 <SN-MP = 35’
 <SN-OP = 18’
 <MMA = 23’
 SUM OF POSTERIOR ANGLES : 396’
 POSTERIOR FACIAL HEIGHT:ANTERIOR FACIAL HEIGHT = 51%
DENTAL ANALYSIS
 <UI-SN = 120’
 <IMPA = 96’
 <IIA = 108’
 <LI-NB = 30’
 HOLD AWAY RATIO (LI-NB:Pog-NB) = 6:0
SOFT TISSUE ANALYSIS
 UPPER LIP TO E-LINE = 0mm
 LOWER LIP TO E-LINE = +2mm
 UPPER LIP TO S-LINE = +2mm
 LOWER LIP TO S-LINE = +4mm
 <NASOLABIAL ANGLE = 89’
LATERAL CEPH DIAGNOSIS
 SKELETAL CLASS 1
 Tendency to torward high ANGLE CASE
 Bimaxillary proclination
PROBLEM LIST
 NO PATHOLOGICAL FINDINGS
 ALD MAXILLA 5mm MANDIBLE -7mm
 NO SKELETAL DISCREPANCY
TREATMENT PLAN
 Comprehensive Orthodontic Treatment
 Alignment and leveling
 EXTRACTION OF ALL 4S

THANK YOU

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Orthodontic Case Presentation