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  • Case Report Baxter

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    Melnic Florentina
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    This document summarizes the orthodontic treatment records of a 13-year-old female patient with a Class II malocclusion and anterior open bite contributed to by a tongue habit. The treatment plan involved extracting the third molars, preparing the mandibular arch, distalizing the maxillary arch with headgear and Class II elastics, and using a tongue crib to control the tongue. Post-treatment records show improvement in the malocclusion with resolution of the open bite.

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    This document summarizes the orthodontic treatment records of a 13-year-old female patient with a Class II malocclusion and anterior open bite contributed to by a tongue habit. The treatment plan involved extracting the third molars, preparing the mandibular arch, distalizing the maxillary arch with headgear and Class II elastics, and using a tongue crib to control the tongue. Post-treatment records show improvement in the malocclusion with resolution of the open bite.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    18 views34 pages

    Case Report Baxter

    Uploaded by

    Melnic Florentina
    This document summarizes the orthodontic treatment records of a 13-year-old female patient with a Class II malocclusion and anterior open bite contributed to by a tongue habit. The treatment plan involved extracting the third molars, preparing the mandibular arch, distalizing the maxillary arch with headgear and Class II elastics, and using a tongue crib to control the tongue. Post-treatment records show improvement in the malocclusion with resolution of the open bite.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 34

    M.

    BAXTER

    PRETREATMENT RECORDS
    This thirteen year old female
    patient has reasonable facial
    esthetics, but a significant
    Class II occlusion and an
    anterior open bite. A tongue
    habit contributed to the
    malocclusion.
    M. Baxter
    M. Baxter
    M. Baxter
    M. Baxter
    M. Baxter
    M. Baxter Pretreatment
    FMIA 66
    FMA 24
    IMPA 90
    SNA 80
    SNB 76
    ANB 4
    AO BO 3mm
    OCC 2
    Z 82
    UL 17mm
    TC 22mm
    PFH 45mm
    AFH 66mm
    M. Baxter
    INDEX .68
    CRANIAL FACIAL ANALYSIS
    CEPH. DIFFICULTY
    NORMAL RANGE VALUE FACTOR DIFF
    FMA 22- 28 24 5 0
    ANB 1- 5 4 15 0
    Z ANGLE 70- 80 82 2 4
    OCC PLANE 8-12 2 3 18
    SNB 78-82 76 5 10
    PFH-AFH .65-.75 .68 3 3
    M. Baxter
    C.F. DIFFICULTY TOTAL 35
    TOTAL SPACE ANALYSIS

    WEIGHTED
    ANTERIOR VALUE DIFF
    TOOTH ARCH DISC. 0 1.5 0
    HEADFILM DISC. 0 1 0
    TOTAL 0 0
    MID ARCH
    TOOTH ARCH DISC. 0
    CURVE OF SPEE 2
    TOTAL 2 1 2
    OCCLUSAL DISHARMONY
    (CLASS II OR CLASS III) 6 2 12
    M. Baxter
    TOTAL SPACE ANALYSIS

    DIFFICULTY
    POSTERIOR FACTOR DIFF
    TOOTH ARCH DISC. 16
    (-) EXPECTED INC. 0
    TOTAL 16 .5 8

    TOTAL S.A. S.A. DIFF


    ANTERIOR 0 0
    MID ARCH 2 2
    POSTERIOR 16 8
    TOTAL 18 10
    M. Baxter
    C.F. DIFFICULTY 35
    S.A. DIFFICULTY 10
    TOTAL DIFFICULTY 45
    M. Baxter

    DIFFERENTIAL DIAGNOSIS AND


    CLINICAL ANALYSIS
    INDEX DIFFICULTY:
    MILD 0-60
    MODERATE 60-120
    SEVERE 120+
    TREATMENT PLAN:

    1. Extract maxillary and


    mandibular third molars.
    2. Prepare the mandibular
    arch.
    3. Distalize the maxillary
    arch.
    4. Control the tongue
    M. Baxter
    M. Baxter
    M. Baxter
    M. Baxter
    M. Baxter
    M. Baxter
    M. Baxter
    M. Baxter
    M. Baxter
    M. Baxter Pretreatment M. Baxter Posttreatment
    FMIA 66 FMIA 68
    FMA 24 FMA 24
    IMPA 90 IMPA 88
    SNA 80 SNA 79
    SNB 76 SNB 76
    ANB 4 ANB 3
    AO BO 3mm AO BO 2mm
    OCC 2 OCC 1
    Z 82 Z 82
    UL 17mm UL 12mm
    TC 22mm TC 18mm
    PFH 45mm PFH 46mm
    AFH 66mm AFH 68mm
    INDEX .68 INDEX .67
    M. Baxter

    Pretreatment
    Posttreatment
    M. Baxter
    M. Baxter
    M. Baxter
    POSTTREATMENT:
    After the extraction of the third
    molars headgear was worn to
    both the mandibular and
    maxillary arches. The tongue
    problem was addressed with a
    tongue crib.
    Following mandibular
    anchorage preparation the
    maxillary arch was distalized
    with Class II elastics and
    headgear. The tongue crib
    was incorporated into the
    maxillary Hawley retainer.

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