Orthodontic Case Presentation

This is the file we will be using for the webinar as we will practice a case
presentation together. Please print it in advance if you can.

File Number:
Date:
Student:
Supervisor:
 Objectives

Test the webinar concept

Provide instructions on how to fill the case
presentation template
 Patient History
• Initials: BL

• ID: 22719

• Age: 10 y.o.

• CC: “My front teeth are

too far forward, and my
dentist said the lower
right quadrant lost
space”
 Patient History
• Past medical history: NSF
• Medications: NSF
• Allergies: None
• Past dental history:
Extraction of primary
teeth: upper central
incisors due to trauma; 84
due to decay
• Space maintainer for 84
which was lost a year ago
• Oral hygiene: Fair
• Oral habits: None
 Extra-Oral Examination
• Facial type:

• Facial proportions:

• Facial symmetry:
 Extra-Oral Examination
• Facial profile:

• Naso-labial angle:

• Lips:
Upper lip length: normal
At rest: normal
Upper incisors showing:
2mm
 Neuromuscular and
TMJ Examination
• Tongue at rest: Normal

• Swallowing pattern:
Normal

• Muscles of mastication:
NSF

• TMJ: Normal

• Mandibular range of
motion: full range of
motion
 Extra-oral Intra-oral
Facial and Dental Midlines:
Upper midline: centered
Mandibular midline:
Upper dental midline:
Lower dental midline:
 Occlusion
Right Side Dental Midline Left Side
Molar Class: Upper: Centered Molar Class:
Canine Class: Lower: Canine Class: I
 Intra-oral examination

Overbite: Overjet:
 Intra-oral examination

Teeth present: Arch shape: Amount of crowding

Upper: (apparent):
Lower: Upper Right:
Upper Left:
Lower right:
Lower left:
 Intra-oral examination

Clinical findings:

Periodontal assessment: healthy periodontium (PSR II), normal pigmentation of

gingiva, excellent oral hygiene, adequate amount of attached gingiva.
Panoramic Radiograph Analysis
Cephalometric Analysis
Angles Ceph Normal
Values
SNA 91.2 81 3
SNB 86.7 78 3
ANB 4.5 3 2
Witts -0.2 2 mm 2mm
Facial 83.2 88 4
angle
MPAST 27.7 32 3
Y axis 61.0 67 4
(UI,NA) 30.4 23 6
(LI,NB) 28.8 27.5 5
(UI,LI) 116.3 130 7
(LI,MP) 94.4 91.4 4
Razdolsky Cephalometric Analysis

• We will learn the Razdolsky

analysis during module 1 onsite.
 Dental Cast Analysis:
Curve of Spee
Lower: Upper:
Dental Cast Analysis
Moyers analysis
Tooth Lower Left Lower Right
(mm) (mm)
Central incisor 6 6
Lateral incisor 6.5 6.5
Sum 21/12 (6+6.5)*2=25
75% probability level 23.4
C+D+E* 26 20
Midline deviation -2 +2
Space for permanent teeth 26+(-2)=24 20+2=22

Leeway space 24-23.4=0.6 22-23.4=-1.4

(crowding)

*measured from the distal of the lower lateral to

the mesial of the lower permanent first molar on
the same side
 Dental cast analysis
Bolton analysis – ideally 77%
Tooth Upper right Upper left Ideal

Central Incisor 8.85

Lateral Incisor 6.9

Canine 7.88

Tooth Lower right Lower left Ideal

Central incisor 5.5

Lateral incisor 6

Canine 6.95

• UA (Σ 13-23) = mm
• LA (Σ 33-43) = mm
• ( 35.3 / 43.3 ) x 100 = %
 Summary of Findings
Dental:

Skeletal:
Diagnosis
Objectives of Treatment
Ideal Treatment
Prognosis