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  • Orthodontic Case Presentation on Protrusion

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    Abdur Rehman
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    This case presentation summarizes the orthodontic treatment of a 24-year-old female patient complaining of protruding front teeth. The clinical examination found a class 2 molar relationship bilaterally, class 2 canine relationship on the right and class 1 on the left, and 5mm of overjet. Radiographs showed skeletal class 2 due to bimaxillary prognathism. The diagnosis was skeletal class 2, low angle case, proclined upper and lower incisors, and an obtuse nasolabial angle. Treatment options considered were non-extraction camouflage orthodontics or surgical correction with maxillary setback.

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    Orthodontics Case Presentation

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    This case presentation summarizes the orthodontic treatment of a 24-year-old female patient complaining of protruding front teeth. The clinical examination found a class 2 molar relationship bilaterally, class 2 canine relationship on the right and class 1 on the left, and 5mm of overjet. Radiographs showed skeletal class 2 due to bimaxillary prognathism. The diagnosis was skeletal class 2, low angle case, proclined upper and lower incisors, and an obtuse nasolabial angle. Treatment options considered were non-extraction camouflage orthodontics or surgical correction with maxillary setback.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    21 views19 pages

    Orthodontic Case Presentation on Protrusion

    Uploaded by

    Abdur Rehman
    This case presentation summarizes the orthodontic treatment of a 24-year-old female patient complaining of protruding front teeth. The clinical examination found a class 2 molar relationship bilaterally, class 2 canine relationship on the right and class 1 on the left, and 5mm of overjet. Radiographs showed skeletal class 2 due to bimaxillary prognathism. The diagnosis was skeletal class 2, low angle case, proclined upper and lower incisors, and an obtuse nasolabial angle. Treatment options considered were non-extraction camouflage orthodontics or surgical correction with maxillary setback.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 19

    ABDUR REHMAN

    FINAL YEAR BDS


    Orthodontics Case Presentation
    History

    Biodata

    Name sumaira
    Age 24 yrs
    Gender Female
    Address Mardan
    Socioeconomic status Good
    Patient Motivation Self motivated
    Chief Complaint

    • Patient complaining of protrusion of anterior teeth and


    wants aesthetics.
    Family history
    Not significant
    Medical history
    Not significant
    Dental history
    not significant
    Clinical examination
    • Extraoral examination
    general health Good

    Macro esthetics
    frontal view
    profile view
    Micro esthetics
    Measurement at rest
    Measurement on smile
    Macro esthetics

    • Frontal view
    Symmetry:: symmetric
    Transverse :normal
    vertical : normal
    Nose : normal
    brachyfacial
    Profile view

    Facial pattern convex


    lip seal incompetent
    lip thickness thin
    chin retruded.
    Micro esthetics

    • Measurement at rest
    Commissure height 21 mm
    Incisor display 5 mm
    Measurement on smile
    Incisor display 7mm
    Gingival display 2mm
    Smile arc consonant
    buccal corridor normal
    Intra oral examination

    • Oral health assessment


    Oral Hygiene: Good
    Teeth Present: All Present
    Missing: nil
    Carious Teeth: Nil
    Oral Mucosa: Normal
    Labial Frenum: Normal
    Occlusal analysis

    • Molar relation
    right class 1 Left class 2

    Canine relation
    Right class 2 Left class 1
    Over jet : 5mm
    Cross bites no
    Functional evaluation
    Breathing Pattern:Normal
    Swallowing: Mature
    Tongue Thrust: Nil
    TMJ Evaluation
    Pain: Nil
    Clicking: Nil
    Panaromic x ray OPG
    Lateral cephalogram

    • CVM Staging :CS 5


    Diagnosis

    • Skeletal class 2 due to bimaxillary prognathism


    • Low angle case
    • Upper and lower incisor proclination
    • Obtuse nasolabial angle
    Arch length discrepancy

    •Arch Length Tooth Material Discripency


    Maxilla:
    • Space Available – Space Required
    • =-4mm

    Mandible:
    • Space Available – Space Required = 3.2mm tooth
    material excess resulting in crowding
    Bolton analysis

    • overall ratio
    • sum of mandibular 12 =88.2
    • Sum of maxillary 12=98mm
    • overall ratio = sum of mandibular 12/sum of max 12 *100
    • =90%
    • maxillary tooth material excess
    • anterior ratio
    • sum of mandibular 6/sum of maxillary 6*100
    • 38/50 *100=76
    • maxillary anterior tooth excess
    Treatment planning

    Levelling & Alignment


    Camouflage without Extraction
    Surgical Tx (Maxillary Set Back).

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