REPUBLIC OF YEMEN UNIVERSITY OFSCIENCE & TECHNOLOGY

Orthodontic Case report

5th Year BDS Students
2021/2022
.…………………………………………………………………… :Student Name
:Patient Name
:Age: Sex
:Address
:Phone Number
:Chief Complaint

Medical History: Dental History:

Extra-oral Examination

Profile Shape of head

Convex concave straight mesocephalic dolicocephalic brachycephalic

Facial Divergence Shape of face

Anterior posterior straight round oval square

Facial Symmetry Lips

Symmetrical asymmetrical competent incompetent averted

Nasolabial Angle Mentolabial Sulcus

Normal acute obtuse normal deep shallow

Tongue size Tongue activity

Normal small large normal tongue thrusting

T.M.J Frenum
Normal pain clicking normal abnormal

Path of closure Breathing

Normal deviated left deviated right oral nasal oro-nasal

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 Orthodontic case report –continued

Intraoral Examination
Permanent dentition:
8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8

8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8

Deciduous dentition:

E D C B A A B C D E

E D C B A A B C D E

Gum : Palate:

Over-jet : Over-bite:
Molar relation : Canine relation:
Details of malocclusion present

Crowding open bite rotation anterio- cross bite

Spacing deep bite proclination posterior cross bite

Diagnostic aids

Study models OPG lateral cephalogram bitewing radiographs

Occlusal radiographs photograph

Diagnosis

Treatment Objective

Treatment Plan

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Case sheet Date Evaluation
Upper and lower
impressions

Model cast

Radiographic analysis

Model cast analysis

Treatment planning

Appliance

Follow up

Follow up

Follow up

Follow up

Evaluation of the case

Seminar