Ejercicio de Diagnóstico

Apellidos y Nombre………………………………………………………………………………….

Clinical Case
DATA: Girl. Age: 10.0 years. Normal transverse skeletal discrepancy.

Family history: Class III (mother), Overbite (mother and brother), and adult chronic periodontal
disease (Father)

Personal background: Mixed breathing. Adenoidectomy at 5 years. Previous treatment with rapid
maxillary expansion at 7 years, extraction of temporary canines and functional rehabilitation.
Retention with Anterior Open Bite Plate. Proper oral hygiene.

Examination: Mixed breathing. Mild lip incompetence at rest, contracture of the chin during lip
closure. Medium periodontal biotype.

Palpation: All normal. Symmetrical chewing. Rest without interest

Occlusion at 7 years, before treatment with skeletal expansion and Functional Rehabilitation.

Carry out facial analysis and occlusion analysis at 10 years of age.

 I I

Calculate the dentoalveolar discrepancy with the Moyers table

Addition of 21+12=33mm

Addition of 21-12= 25mm

Space available upper arch=71mm

Space available lower arch =65mm

sup
345 → 23-7 311-23.9×2=80.4 71-80-4=-9.4
$+5 →
25-123.4×2=71.8 65-71.8=-6.8
infer 23.4

Discrepancy sup
:
-9.4

int
Discrepancy -6.8
:
:

H
¥9T F FF

​
12.9 +
1421-10.3-111.8+12,7 1- 14 -13.9
= 84 I .
 ​

Interpret each of the Steiner Cephalometry values and make a diagnostic summary:

Value Interpretation

SNA 79º Maxillary Retrusion

SNB 76º Mandibular retrusion

SND 73º Mn retrusion

ANB 3º Normal position / class 1)

+1aNA 6,0mm Protrusion
-1aNB 5,0mm Normal position
Angle +1 aNA 20º Normal inclination

Angle -1 aNB 26º Normal inclination

Interincisive angle 131º normal inclination

Pg to NB 1,0mm

Mandibular plane 38º Long face

Occlusal plane 24º Too steep / Long face )
SE distance 21mm Advanced position of condyle in
glenoid cavity
SL distance 50mm short Mn
body
Summary Diagnosis of Cephalometry and Orthopantomography:
skeletal class : class I

Molar class :
right :[

Left : I

Face pattern face

:

Long
Position of incisor : Upper incisor
protrusion
Lower Vor mat
incisor
position

☒
​Carry out the Steiner Box and decided whether therapeutic extractions are necessary or not,
and the anchoring needs in the two arches:

+-

Dentoalveolar Discrepancy

Reposition -1

Curve of Spee

Reposition -6

Expansion

E space

Appliances, elastics, etc

 Extractions/ Striping

TOTALS

NET

Comprehensive diagnosis of the patient; Personal characteristics, type of malocclusion according to

angle's classification, and List of problems (Sagittal, Transversal, Vertical, Volumetric and dental)​

a- ±
Make a logical treatment and retention plan based on your diagnosis
Molar Canine
Class
Right #
:

Sagittal :

Left :
Class I ✗

overjet :
3mm

Posterior Normal
Transversal
:

Midline : normal
Vertical : overbite 3mm

Volumetric :
Not enough space

Dental : normal