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قالب فايل الاورثو
قالب فايل الاورثو
FACUALITY OF DENTISTRY
ORTHODONTIC DEPARTMENT
ORTHODONTIC
2
: متابعة
. غمدان الحرازي/د
. نائلة المجاهد/د
: الطالب
Faculty of Dentistry
5th Year BDS Students
Year 2022/2023
Extra-oral Examination
Profile Shape of head
Convex Concave Straight Mesocephalic Dolichocephalic Brachycephalic
T.M.J Frenum
normal pain clicking normal abnormal
Details of malocclusion
Crowding Open bite Rotation Anterior Crossbite
Diagnostic aids
Study models OPG Lateral cephalometric
Diagnosis:
• Spacing between anterior teeth
Etiology
• High frenum attached.
6 E c 2 1 1 2 c D E 6
6 E D c 2 1 1 2 c D E 6
Mandibular arch:
2 1 1 2
7 mm 7 mm 6.5 mm 7.5 mm
2- Arch symmetry :
From the mesial pit of the 1st permanent molar to mid line
Left = 15 mm Right = 15 mm
MMV = 42 mm
SIU = 34 mm
CMV = 76 X100 / = 7600 mm
1- Tuberosity Size
Left = 7 mm Right = 7 mm
Vertical plane:
1- Depth of the palate = 18 mm.
2- Infra-erupted teeth:
6 6
Mandibular Arch
Transverse plane:
1- Mid line shifting :
There is no midline shifting
The arch is
Sagittal plane:
1) Rotation: `
There is rotation.
2
2) Drifting:
There is drifting into the lateral incisor.
Vertical plane:
1- Infra-erupted:
At Occlusion
Transversal plane:
1- Midline shifting :
2- Cross bite :
Sagittal plane:
1- Overjet = 2.5 mm.
Vertical plane:
overbite: 2.5 mm
Conclusion of cast analysis
• An 11-year-old male patient, with class I molar relationship,
mixed dentition in upper and lower jaw, 23 erupted mixed teeth.
• There is no midline shifting.
• Overbite: 2.5 mm and Overjet 2.5 mm.
• According to Pont’s analysis, the arch is narrow and expansion
will be needed.
• Upper right central incisor inclined labially.
OPG Analysis
Maxillary Arch
Upper right arch
-
OPG Conclusion:
• According to OPG the patient is 11 years of age,
and he is in late mixed dentition 14 deciduous are
still present 10 permanent teeth have erupted, and
still 17 permanent teeth are unerupted.
• Normal sequence and path of eruption.
• The third molars are absent in the upper and lower
arch.
• No periapical lesions
• No bony lesions
• No impacted teeth
• No supernumerary teeth
• No pathological lesions.
Photograph Analysis
Extra-oral
Facial Profile
❖ Determined by line:
✓ From forehead to pogonion (Most anterior part of chin)
Etiology
•
Objectives:
• Improve patient esthetic.
• Correct the diastema.
• Correct arch width (narrow upper arch).
TREATMENT PLANNING
• Oral hygiene instruction.
• Explain the importance of treatment and
motivate him.
• Review the diagnostic document to design an
appropriate appliance.
• Retention.
• Follow up.
PROGNOSIS:
❖ Good due to:
1. Patient’s age.
2. Ability to correct the malocclusion.
3. Patient motivation and cooperation.
4. Family cooperation.
Appliance:
1. Retentive components:
Adam clasps on 6 & 6 of 0.7mm round s.s wire.
2. Active component:
labial bow
between D &E of 0.7 mm round s.s wire z spring 1&2
Anchorage:
Acrylic base plate.