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CLINICAL CASE CLASS I

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by

Andrea Bianco

on 3 May 2013

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Transcript of CLINICAL CASE CLASS I

UEM-Valencia 2012/2013 Course of Orthodontic IV DEFINITION: DENTAL HISTORY EXTRAORAL ANALYSIS INTRAORAL ANALYSIS Normal Ms-Ds relation of the lower arch in respect of the upper arch following
Edward Angle’s Classification:
Ms-Buccal cusp of upper 1M in buccal groove of Lower 1M MEDICAL HISTORY

Medications: CLINICAL CASE
INTERVIEW DATA Dental traumatism:

Previous orthodontic
treatment :

Oral habits:

Hobbies: CLINICAL CASE 1 Malocclusion Class I Done & Presented
by Andrea Bianco Matteo Da Pozzo Ramin Changoleh GARCÍA MARTÍNEZ, SALVADOR
D.O.B:
29/01/1996
AGE: 13 NAME:
GENDER:
RACE:
DATE OF BIRTH:
AGE:
CHIEF COMPLAIN: FACIAL PATTERN:



Breathing: Lips:

Smile: Profile: ANTERO - POSTERIOR
RELATIONS MOLAR RELATIONSHIP:
CANINE RELATIONSHIP: OVERJET: SALVADOR, GARCIA MARTINEZ MALE LATIN 13 29 . 01 . 1996 " my front teeth are crooked and my smile is ugly " Previous medical history: Actual medical history: Allergies: No previous relevant M.H. Good health, regular medical/dental care None None MOTIVATION: Good attitude, understands treatment procedures becouse friends has been treated EXPECTATION: Better appearance - less social stress
seems realistic Other pertinent information : Lives with both parents, good school performance, no apparent social problems. None No None Football Mesio Facial Normal COMPETENT CANINE SMILE ---- Rubin Classification HIGH SMILE ---- Ackerman and Ackerman Classification STRAIGHT
TO SLIGHTLY
CONVEX HEALTH OF HARD AND SOFT TISSUES TONGUE: DENTAL
PATHOLOGY: INFLAMMATION/ Redness on gingival margin
of 1.1/1.2 GUM: FRENUMS: NORMAL GUM: NORMAL PREAVIOUS SEALANT TREATMENT ON UPPER AND LOWERS 1st MOLARS CLASS I LEFT RIGHT CLASS I CLASS I erupting < 2mm - VERTICAL ALTERATION: OVER BITE / DEEP BITE: OPEN BITE: CURVE OF SPEE: NO NO NORMAL TRANSVERSAL ALTERATION COMPRESSION: CROSS BITE: SCISSOR BITE MIDLINE DEVIATION: Deviation to the left of 3 mm First quadrant ( 1,3 - 1,6)
Second quadrant (2,4 - 2,6) 3,4 cause upper arch compression 3,5 cusp to cusp NO ARCHES ANALYSIS SHAPE OF UPPER ARCH SHAPE OF LOWER ARCH OMEGA SHAPE U SHAPE TEETH ANALYSIS OPG EVALUATION Anomalies in number: Agenesys: Supernummeraries teeth: Canines Positions: NO NO 1,3 = INTRUDED
2,3= SLIGHT INTRUDED AND DISTAL ROTATION
3,3= SLIGHT ROTATED DISTALLY
4,3= INTRUDED & ROTATED DISTALLY NO OPG EVALUATION Bone Level: Root Lenght: Cist & Tumor: Condyles: NO NO RELEVANT PROBLEMS 3,5 / 4,5 LONG ROOT Normal No caries S
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S STEINER'S ANALYSIS SKELETAL ANALYSIS SNA = 83° SNB = 78° ANB = 4° P.V N.V 82 + 2 - 76 + 2 - 2 + 1 - XYAXIS = 69° 66° (LONG FACE) (ANB) > 2° = CLASS II STEINER'S ANALYSIS ANGULAR MEASURAMENTS: INTERCISAL ANGLE: LINEAR MEASURAMENTS: ANTERIOR - POSTERIOR
POSITION OF THE MANDIBLE: RELATION OF O.P. RELATED
WITH THE CRANIAL BASE: UI-NA = 23° LI-NB = 29° 22+2 - (indicates buccal
inclination) 129° > 135°
< 127° Biretrusion Bipotrusion N.V UI-NA = 4mm
LI-NB = 5mm SE 19mm
SL 50mm 4+1
4+1 - - 19° 14+2 - 22+2
51+2 R
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S MAXILLARY CONVEXITY: RICKETT'S ANALYSIS LOWER FACIAL HEIGHT: UPPER FIRST MOLAR
POSITION: LOWER INCISOR
POSITION: 4,5mm 38° 12mm 2mm P.V N.V 2+2 47+4 - - CLASS I SHORT FACE AGE +3mm+3 - INCREASE 1mm PER YEAR 1mm+2/3mm indicate the position of central incisor related to its basal bone (CORRECT POSITIONED) LOWER INCISORS INCLINATION: LOWER LIP PROTRUSION FACIAL AXIS MANDIBULAR PLANE ANGLE MANDIBULAR ARCH 13° O mm 88° 30° 36° 22°+4° -2+2mm 90°+3° 26°+4,5° 26°+4° lingual inclination Correct Position MesioFacial Normal Bite Short Face P.V N.V TREATMENT MAXILLARY
COMPRESSION RPE EXPANSION OF
THE ARCH UPPER
negative TSALD (-10mm) CREATE SPACE UPPER FIRST PREMOLARS
EXTRACTIONS CROSS
BITE BRACKETS
+ ELASTIC ALIGNED
SINGLE TOOTH MOLAR ROTATION DE-ROTATION TPB LINGUAL BAR & RETENTION PHASE SYMMETRY FACIAL TRISECTION NORMAL PRESENT TEETH SHAPE & SIZE: NORMAL VERTICAL MALPOSITION: 1,2 EXTRUDED DUE TO CANINE ERUPTION
1.3 INTRUDED(erupting)
2,3-4.3 SLIGHLY INTRUDED HORIZZONTAL MALPOSITION: 1,2/1,4/1,5/1,6/2,4/2,6/3,2/3,5/4,1/,2/4,3/4,4 Rotated THANK YOU FOR YOUR ATTENTION COURSE OF ORTHODONTIC IV QUESTIONS? D
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