CASE PRESENTATION

Views:
 
Category: Education
     
 

Presentation Description

No description available.

Comments

By: aq11 (41 month(s) ago)

nice and beautiful one

By: milad_m (43 month(s) ago)

great presentation

By: nasser1990 (45 month(s) ago)

thank you

By: chowdary390 (49 month(s) ago)

can u pls tell me how can i download it

By: chowdary390 (49 month(s) ago)

very nice presentation

See all

Presentation Transcript

CASE PRESENTATION : 

Dr Shafaq Salim Dr Anosha Baqai CASE PRESENTATION

Patient’s History : 

Patient’s History Personal Data Name : ABC Age : 11yrs Gender : Female Address : Model Colony D.O.E : Jan 25th,10 Socio-economic Status : Affording

Chief complaint : 

Chief complaint Impaired dento-facial esthetics and function Medical history Not significant

Past dental history : 

Past dental history No trauma Habits‣ thumb sucking‣ lip biting family history None

Slide 5: 

Clinical examination

Extra-oral examination : 

Extra-oral examination

Frontal view : 

Frontal view

Profile view : 

Profile view

Frontal on smile : 

Frontal on smile

Oblique view : 

Oblique view

Intraoral examination : 

Intraoral examination 1234e6 1234e6 6e4321 65431

Frontal view : 

Frontal view

Right lateral : 

Right lateral

Left lateral : 

Left lateral

Upper Occlusal view : 

Upper Occlusal view

Lower occlusal view : 

Lower occlusal view

Increased overjet : 

Increased overjet 14mm

Occlusal analysis : 

Occlusal analysis Antero-posterior Vertical

Class II cuspid & molar relationship : 

Class II cuspid & molar relationship

Transverse : 

Transverse Tmj analysis

Midline shift : 

Midline shift 3.5mm

investigations : 

investigations

investigations : 

investigations Cast Analysis Space Analysis Cephalometric Analysis OPG Analysis Hand-wrist Radiograph Analysis Cervical Maturation Analysis Palatal Expansion Measurement Airway analysis

Slide 24: 

CAST ANALYSIS Cast Apart U-shaped Arch Deep Palatal Vault Normal Labial Frenum Lower Midline Shift to right 3.5mm

Cast apart : 

Cast apart

Dentition status : 

Dentition status Intra-orally Missing 42 Labio-Version 11,12,21,22 Torsi-version 32,31,41

Slide 27: 

Cast in Occlussion Molar Relationship Rt. : Half cusp class II div I Lt. : Full cusp class II div I Cuspid Relationship Rt. : Class II Lt. : Class II Incisor Relationship Incisor overjet : 14mm Overbite : 60% Cross Bite Posterior Bilateral

Cast in occlusion : 

Cast in occlusion

Slide 29: 

Rt. Lateral Lt. lateral

Space analysis : 

Space analysis MAXILLARY ARCHspace discrepancy= space available - space required = 88 – 86.5 = +2.5mm MANDIBULAR ARCH space discrepancy= space available - space required = 63 – 64.8 = -1.8mm BOLTON’S ANALYSISsum of lower 12 teeth/sum of upper 12 teeth * 100 =79.5% sum of lower 6 teeth/sum of upper 6 teeth * 100=62.5%

CEPHALOMETRIC ANALYSIS : 

CEPHALOMETRIC ANALYSIS

SKELETAL analysis : 

SKELETAL analysis

Slide 35: 

Sagittal ------- Vertical -------

Dental analysis : 

Dental analysis

Slide 37: 

Upper Incisor -------- Lower Incisor --------

Mcnamara’s & Harvold’s : 

Mcnamara’s & Harvold’s

Slide 39: 

Harvold’s -------- Mcnamara’s -------

Soft tissue analysis : 

Soft tissue analysis

Slide 41: 

S-line ------- E-line -------

OPG ANALYSIS : 

OPG ANALYSIS

Hand wrist radiograph analysis : 

Hand wrist radiograph analysis

Hand-wrist maturation graph : 

Hand-wrist maturation graph

Slide 46: 


Cervical maturation analysis : 

Cervical maturation analysis

CERVICAL MATURATION GRAPH : 

CERVICAL MATURATION GRAPH

Measurement of palatal expansion : 

Measurement of palatal expansion + + + = Upper Molar Torque Lower Molar Torque Buccal Overjet Over-correction Palatal Expansion

Airway analysis : 

UPPER AIRWAY_Post. Pharengeal wall to middle of soft palateLOWER AIRWAY_Post pharengeal wall to post. Tongue from mandibular plane Airway analysis 17mm 13mm

diagnosis : 

diagnosis Skeletal dental Base – II Class II,div-I with bilateral posterior cross bite

Slide 54: 

Problem list

Treatment objective : 

Treatment objective

Treatment plan : 

Treatment plan

Phases : 

Phases

Plan a : 

Plan a Achieve rapid palatal expansion with fixed functional appliance like hyrax with bands on 14,24 & 16,26 for 6 months After 6 months twin block appliance is incorporated for mandibular advancement until desired results are achieved. Then we can go for fixed appliance therapy for minor dental corrections.

Plan b : 

Plan b Achieve rapid palatal expansion with functional appliance like hyrax with bands on 14,24 & 16,26 for 30 days After 30 days twin block appliance is incorporated in hyrax for mandibular advancement until desired results are achieved After that fixed appliance therapy can be done for minor dental corrections

Plan c : 

Plan c Incorporate fixed functional appliance like hyrax modified with twin block appliance until the desired result is achieved We can go for fixed appliance therapy for minor dental corrections

RPE BY HYRAX : 

RPE BY HYRAX

TWIN BLOCK APPLIANCE : 

TWIN BLOCK APPLIANCE

FIXED APPLIANCE THERAPY : 

FIXED APPLIANCE THERAPY

REFRENCES : 

REFRENCES Nicole J. Saira.:long term dentoskeletal changes with the bionator,twin block & MARA functional appliances;Angle orthodontist,vol 80,No 1,2010. Hakan Gurcan.:Long term effects of RME followed by fixed appliance,Angle orthodontist,vol 80, No 1,2010 Aldo Giancotti.:RPE in treatment of Class-II malocclusions,British Journal of orthodontics,vol 26,No 3. Maria T. O’ Reilly.:Mandibular growth changes & maturation of cervical vertebrae,Angle Orthodontics,pg 179-184,April 1988. Roberto M. A. Lima Filho.:Spontaneous correction of class II malocclusion after RPE,Angle orthodontist,vol 73, No. 6,,2003. Proffit WR, fields HW. Contemporary Orthodontics; 4th edition. St. Louis, Mo: Mosby; 2000:13.

Thank you : 

Thank you