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ABDALLA ● ALKAMEL ● BAGGAS ● CATAYAO ● DAWAYEN ● GABAYNO ● GALPO ● PATONGAO ● PINAY-AN ● SALUNGA

INFORMATION

Name: Izumi Leigh


Mana-an
Age: 9 yrs old
Dental History:
November 5, 2022
(extraction of canine)
Medical History:
Appendectomy
PDA chart
PHOTOGRAPH

EXTRAORAL
&
INTRA-ORAL
RADIOGRAPH
CEPHALOMETRIC PANORAMIC
RADIOGRAPH
CEPHALOMETRIC TRACING & INTERPRETATION
DIAGNOSTIC CAST

Top View

Lateral View

Anterior View

Posterior View
DIAGNOSIS

• Class II Division I
• Diastema (upper central incisor) caused by
thick labial frenum
• Protusion (maxillary and mandibular
central incisor)
• Posterior crossbite (Mandibular)
TREATMENT
PLAN A

• Move back the protruded


upper central incisor
• Put labial bow in the
upper and lower central
incisor to fix diastema
• Lower jaw expander for
correction of posterior
crossbite
Lower Jaw Expander

APPLIANCE COMPONENTS:
• Clasp between the lower
deciduous molars and lower
first molars
• Expansion screw (midline)
embedded in the acrylic
• Acrylic (lingual)

MATERIALS:
• Wire
• Acrylic
• Expansion screw
TREATMENT
PLAN B

• Move back the protruded


upper central incisor
• Put labial bow in the
upper and lower central
incisor to fix diastema
• Quad Helix to fix
posterior crossbite
Quad Helix

APPLIANCE COMPONENTS:
• Band on the first permanent
molars
• Quad Helix

MATERIALS:
• .036 Blue Elgiloy wire (heat
treated)
• Silver solder (cadmium free)
ABDALLA ● ALKAMEL ● BAGGAS ● CATAYAO ● DAWAYEN ● GABAYNO ● GALPO ● PATONGAO ● PINAY-AN ● SALUNGA
ABDALLA ● ALKAMEL ● BAGGAS ● CATAYAO ● DAWAYEN ● GABAYNO ● GALPO ● PATONGAO ● PINAY-AN ● SALUNGA

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