case presentation raza complete

7/31/2019 Case Presentation Raza Complete

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Case Presentation

By:

Raza siddique.Roll No:03FINAL YEAR


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History

Medical history: Not significant.

Past dental history: None.

Family history: Not significant.


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History

Para functional habits: none

Social and behavioral status:

Affording.

Internally motivated


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Extra OralExamination


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Frontal View

Symmetrical face

Head Form: mesiocephalic

Face Form: mesioprosopic.

Lips are not compitent

Lips shape: normal


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Frontal View Smile

Gum visibilty: 0Symetrical smile

consonant smile


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Profile Viewlips are not

compitent at rest.

Facial profile:

convex

Nasiolabial angle:Normal

Mentolabial angle:obtuse.


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Oblique View

Zygomatic prominence is normalLips are not competent at rest.


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Intra- OralExamination


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Dentition status:

Dentition status: permanent.

7 6 5 4 3 2 1 1 2 3 4 5 6

6 5 4 3 2 1 1 2 3 4 5 6

8 7 7 8

7 88

P t M


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Per o onta MucosaStatus

Frenum: normal and attached

Periodontal status: good

No soft tissue lesion


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Frontal View

Upper to Lowermidline: normal.

Frenum attached.

Good oral hygiene.

Overbite = 55%.


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Right Intraoral View

Molar Class:class II

Canine Class:Class II

Overjet: 5mm


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Left Intraoral View

Molar Class: Class II

Canine Class: Class II


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Maxillary Occlusal View

Midline: NormalPalatal vault: Normal

Arch shape: U shaped

Line of occlusion:normal.


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Mandibular Occlusal View

Midline: normal.

Arch shape: U

shaped.

Line of occlusion:disturbed.

Infraversion 35,45


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TMJ Analysis

Mouth opening: 30 mmNo significant finding.


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Investigations

Cephalogram

OPG

Study models


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Cephalogram


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Sagittal analysis


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Sagittal AnalysisNORMAL

VALUE

PATIENTS

READINGSSNA 82 2o 77o

SNB 782o 75o

ANB 1-4 2o

WITS ANALYSIS 0 2mm 0.5 mm

FACIAL ANGLE 87-90o 88o


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Sagittal Analysis

NORMALVALUES

PATIENTSVALUES

Mcnamara to pt A 01mm 0 mm

Mcnamara to upperIncisor

4mm 8.5mm

Mcnamara to Pog -34mm 4 mm


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Vertical analysis


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Dental Analysis


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Dental analysisNORMAL VALUES PATIENTS

VALUESUI-SN 102o 115

UI-FH 110o 125o

UI-PAL 108o 123

IMPA 90o 94o

UI-LI 125-135o 111o

NA/UI 22o 38o

NB/LI 25o 38o


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Dental analysis

NORMAL VALUE PATIENTSREADINGS

UI-NA Distance 4mm 13mm

LI-NB Distance 4mm 7mm


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Soft Tissue Analysis

Upper lip - E line = 0 mm

Lower lip - E line = +1 mm

Nasiolabial Angle = 61


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OPG


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OPG

No bone loss.No hard tissue abnormality.

According to Nollas stage:

VI,VIII,IX,IX,IX,IX,X,X

X,X,IX,IX,IX,IX,VIII,VI

V,VIII,IX,IX,IX,IX,X,X X,X,IX,IX,IX,IX,VIII,V


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Cast Apart

Maxilla arch:MIDLINE: Normal

PALATAL VAULT:Deep

ARCH SHAPED: Ushaped.

LINE OF OCCLUSION:normal

Diastema:2mm.


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Cast Apart

Mandibular arch:MIDLINE: normal.

ARCH SHAPE: USHAPED.

LINE OFOCCLUSION:disturbed.


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Cast In Occlusion

OVER JET: 7mmOVERBITE: 55%

MOLARRELATION:

RIGHT: Class II

LEFT: Class II

CUSPIDRELATION:

RIGHT: Class II

LEFT: Class II


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Space Analysis

UPPER ARCH:Space available: 86mm

Space required: 81mm

Discrepancy: 5mm

LOWER ARCHSpace available= 73.5mm

Space required= 70.5mm

Discrepancy= 3mm


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Bolton Analysis

WHOLE ARCH:Whole Arch = 90.5%

Discrepancy=1.2mm

ANTERIOR ARCH:Anterior Arch = 82.82%

Discrepancy =3.74.


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bl i


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Problem ListMolars are in class 2.

Canines are in class 2.

Overjet 7mm.

Distema.

Deepbite 55%

bimaxPrtusion.

i f


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Aim of Treatment

To achieve class I molar relationship.

To achieve class I canine relationship.

To reduce distema.

Manage bimaxilary protusion.

Reduce deepbite and overjet.


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Treatment Plan

Plan A

Fixed orthodontic appliance.

Distalization of molars in maxilla.

Extraction of all 4s.


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Plan B Extraction of upper 4s with

distalization of upper anteriorsegment.and molars ends in full cuspclass 2.


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Thank You!

case presentation raza complete

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