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Nazeer
Nazeer
20130329 16797
Pretreatment 28/1/13
Apprantly bilaterally Symmetrical leptoprosopic face Convex profile Potentially competent lips Interlabial gap 5 mm Incisor show at rest 4mm
Overjet Overbite
9mm 4 mm
Pretreatment 28/01/13
Max arch:
Arch form: U shape HIGH arched palate
Mand arch:
Arch form: U SHAPE
SNA SNB
ANB
Wits App-Bpp MM bisector
AB Plane angle
Pt is skeletal Class
(-4.6 3.67)
mm mm mm
Both the mand and max are proportionally Enlarge.
mm mm mm
Gonial angle
Lower gonial angle J-ratio UFH / LFH
(123)
(70) (62 %) (45 : 55)
Pretreatment 24/12/12 Upper incisors are proclined and protruded UI -A-Pg: +6mm 6.741.3mm UI-NA: 4.922.05mm
+7mm
UI-NA: 24.025.82
UI-Palatal Plane ( 110)
27
118
UI-SN
112
LI- A-Pg ( -2mm to 2mm) LI-NB (61.7mm) LI-NB (274.3 ) IMPA (90)
+7mm 6mm
25 95
E line (mm)
mm
mm mm mm
S line (mm)
Upper and lower lip are protruded w.r.t E & S line Nasolabial angle Inter labial gap Lip strain 0 mm 2mm
Model Analysis
Boltons Analysis
Indicates mandibular tooth material excess maxillary anterior excess
Ponts Analysis
M.M.V = 46
C.P.V = 42.5 indicating no need for expansion. C.M.V = 39.84 indicating no need for expansion.
T.T.M=83
P.M.D=41 P.M.B.A.W=43.37
Careys Analysis
a) Arch perimeter space available b) Tooth material UPPER 79mm LOWER 67mm
83mm
55.5mm
4 mm
11.5mm
CASE SUMMARY A 20 yrs old female patient shows Skeletal Class I jaw bases .. Dentoalveolar: Malocclusion irregularly placed teeth.
Soft tissue: convex profile,acute nasolabial angle, average mentolabial sulcus,potentialy competent lips, crossbite present.
PROBLEM LIST
Skeletal Class I jaw bases ANGLES CLASS II DIV I malocclusion missing lower firs canine class I and Class I incisor relationship. acute nasolabial angle competent lips DEEP mentolabial sulcus
DIAGNOSIS
SKELETAL CLASS I Normodivergent GROWTH PATTERN .
INCRESED OVERJET
ANGLES CLASS II DIV IMALOCCLUSION
DISCREPANCY CALCULATION
Mandibular Arch
FMA 24
Maxillary Arch
Overjet due to IMPA correction= 2mm Total overjet=2+2=4mm Space required for correction of total overjet= 4x2=8mm (maxillary arch)
TREATMENT OBJECTIVE
Correction of molar and incisor relationship Correction of crowding ,spacing. Correction of crossbite CORRECTION of overjet and overbite
TREATMENT PLAN
FIXED MECHANOTHERAPY No EXTRACTION ANCHORAGE-GROUP C TYPE OF APPLIANCE-PREADJUSTED APPLIANCE MECHANICS-ROTH .022 SLOT