PRESENTATION
Marwa Ibrahim Halalmeh
Eman Khalid Nazzal
Rahaf Hasan Ibrahim
Malak Ali Abu-aquleh
PATIENTS BIOGRAPHY
HISTORY
Chief Complaint :
-She doesnt like her teeth shape
-crowding anteriorly
-facial asymmetry
History of Chief Complaint :
-With eruption of permanent teeth
Medical History :
- Patient denied any medical problems
Dental History :
- She wear a removable appliance 4 years
ago for 1 year to expand her upper jaw
- Uncomplicated previous extraction 3
years ago
- Previous restoration 3 months ago
Social History & Habits :
-None
Profile View
Profile angle: Convex
Skeletal Class: Class II
FMPA: average
View
Intra-arch:
Teeth number :
Upper: 14 lower: 12
Crowding :
Upper: severe crowding
Lower: mild crowding
Incisor inclination :
Upper: proclined
Lower: average
Other :
Buccally erupted upper canines
Inter-arch/occlusion:
Anterior-posterior relation:
Overjet: increased 4mm
Incicor relation: II division 1
Canine relation:
Right: II by unit
Left: II by unit
Molare relation:
Right: II by unit
Left: II by unit
Vertical relation:
Anterior Open bite
Transverse relation:
Unilateral Cross bite without
displacement
Central line :
Lower non-coincident with the
upper to the right by 2 mm
Upper occlusal
Lower occlusal
Study Cast
Study Cast
Lowe
r
Upper
Space analysis
Panaromic Radiograph
Cephalometric
Radiograph
Cephalometric Analysis
Measurem
ents
Norma
l
Pts
result
823
86
Prognathic
maxilla
SNB
793
75
Retrognathic
mandible
ANB
31
Increased
Increased
93
normal
Wits
measurem
ent
A-B
FOP
0 female
905
275
24
Normal
LFH/TFH
50-55%
60
%
Increased
Gonial
angle
1265
134
Increased
Diagnosis
Patient has Class II Division I incisors relation based on
skeletal class II relationship.
Complicated by :
Class II canine relationships
Class II molar relationships
Convex profile angle
Anterior open bite
increased overjet
Midline of lower teeth is not coincident with the upper to the
right by 2 mm
Unilateral cross bite (right)
Treatment Plan
Aims of treatment:
1- achieve Class I incisors relationship
2- relief crowding
3- achieve Class I molar and canine relationships
4- correct the cross bite
5- increase overbite
6- overjet reduction
- retention by :
Vaccum-formed Essix Retainer
4
5
4 7
Thank you