ORTHODONTICS 2

LABORATORY: PRELIM

ACTIVITY 4 – Radiographic Tracing and Landmarks

Name: SECUNDO, SOFIA R. Date: 09/10/2021

Section: R4A

Objective of the activity: To discuss the concepts of the incidence and recognition
of malocclusion.

Instruction: Draw and identify different classification of malocclusion. Provide a

brief explanation of each classification.
OPG Tracing:

In your panoramic radiograph, trace the following landmarks:

● Maxillary sinus ● Alveolar bone

● Nasal septum ● Periapical tissue
● Mandibular condyles
● Tooth structure

Write down your findings seen in your panoramic radiograph:

● Stage of dental development

● Missing, impacted, drifted, carious, or supernumeraries teeth
● Root shape
● Alveolar bone level
● Periapical condition
Panoramic Radiograph interpretation/findings:

1. Tooth # 28 is a class III, no sufficient space for the third molar, position C, highest
portion of the tooth is below the cervical line, vertical with nerve encroachment and
complete bony impaction.

2. Tooth # 18 is missing

3. Tooth # 38 and # 48 has only minimal space for the accommodation of the
mesiodistal diameter of the crown of third molar, meaning those molar are in class II.
position C, where we can observed that the highest portion of the tooth is below the
cervical line. mesioangular, tilted or angulated mesially and with nerve encroachment
and complete bony impaction.

4. Tooth # 15, #16, #17, #24, #25, #26, #27, #34 #,35, #36, #46 and #47 have caries.

5. Crown formation of tooth number 28, 38, 48

6. Restoration on tooth number 16, 26, 36, 46

7. Lesion in apex tooth # 11, # 31

Cephalomtric Planes:

Trace the following planes

Cephalomtric Angles and values:
FILIPINO INT’L PATIEN BELOW ABOVE INTERPRETATION
VALUE RANGE T

I. SKELETAL RELATIONSHIP
ANTEROPOSTERIOR
Maxilla to Cranium 84.5̊ 82̊ 83 ° Retruded Protruded retruded
(SNA) +/- 3-4

(forward) mx -

/+82° < normal

value

Mandible to 82̊ 80̊ 86 ° Retruded Protruded retruded

Cranium +/- 3-4
(SNB) (forward) mx -

/+80° < normal

value

Mandible to Maxilla 2.5̊ 2̊ 3 ° Class II skeletal

(ANB) Class III Class II
pattern

B.Vertical Relation

SN-MP 31.3̊ 32̊ 21 ° Low High Low SN-MP - 21°

> Growth pattern

of the mandible

SN-Occ. PL 13.5̊ 24̊ 10 ° Forward Downward Forward

Horizontal Vertical
horizontal SN

Occ.PL – 10° >

Growth pattern of

the mandible
II. DENTAL RELATIONSHIP
UI-NA 24.7̊ 22̊ 30 ° Retruded Protruded Protruded upper

incisors - 30° >

normal value

UI-NA 7mm 4mm 9 mm Linguoverted Labioverted Labioverted

upper incisors 9mm

mm > normal

value

LI-NB 29.8̊ 25̊ 32 ° Retruded Protruded Protruded lower

incisors - 32° >

normal value

LI-NB 7mm 4mm 8mm Linguoverted Labioverted labioverted upper

incisors 8 mm

> normal value

Interincisal Angle 122.8̊ 131̊ 118 ° Acute/ Obtuse/ Acute/

(UI-LI) Labioverted Linguoverte
d Labioverted Angle

Dental patterns -

118° < normal

value

III. CHINPOSITION
Pog-NB 0.7mm 4mm 2mm Deficient Prominent Prominent LI-NB -

2 mm > normal
 value

IV. SOFT TISSUE RELATIONSHIP

Upper Lip – EL* 0 0 3mm Retrusion of Protrusion
the upper lip of the upper Retrusion of the
lip
upper lip 3mm =

normal value

Lower Lip – EL * 0 0 4 mm Retrusion of Protrusion Retrusion of the

the lower lip of the lower
lip lower lip 4 mm =

normal value