EUROPEAN SOCIETY OF LINGUAL ORTHODONTICS · european society of lingual orthodontics kanarelis...

EUROPEAN SOCIETY

OF LINGUAL

ORTHODONTICS

WBLO 1  

EUROPEAN

SOCIETY

OF LINGUAL

ORTHODONTICS KANARELIS PANAGIOTIS (TAKIS)

CASE NUMBER: 1

Year: 2012

WBLO 2  

NAME: BOURELAKI SOFIA

BORN: 07/12/1990

SEX: F

PRETREATMENT RECORDS:

CLASSIFICATION: CLASS I – EXTRACTIONS OF 4 BICUSPIDS

TEETH MISSING BEFORE TREATMENT:

APPLIANCE: Upper & lower lingual fixed orthodontic appliance

AGE: 18 DATE: 26/01/2009

TREATMENT STARTED:

TREATMENT ENDED:

ACTIVE TREATMENT TIME: 23 MONTHS

POSTTREATMENT RECORDS: 14/02/2011

AGE: 18 DATE: 14/03/2009

AGE:20 DATE: 14/02/2011

RETAINERS:

RETENTION ENDED:

a)upper: removable splint

a)lower: removable splint

a)upper:

a)lower:

DATE: 14/02/2011

DATE:

RETENTION TIME: 15 months

(POST-) RETENTION RECORDS:

TIME OUT OF RETENTION:

AGE: 22 DATE: 30/05/2012

RÉSUMÉ OF CASE 1

CASE CATEGORY:

ADULT MALOCCLUSION

WBLO 3  

A. SUMMARY

B. EXAMINATION OF HEAD AND FACE

C. FUNCTIONAL EXAMINATION

D. INTRAORAL EXAMINATION

E. DENTAL CASTS

PANAGIOTIS KANARELIS CASE NUMBER: 1 DATE:21/01/2009 AGE: 18

Mandibular arch: anterior severe crowding

Maxillary arch: anterior severe crowding

Occlusion Sagittal: 2,5mm

Occlusion Vertical: 0 mm

Occlusion Transversal: ectopic position of 13, 23, 43

1. Classe I molar right; Classe I molar left.

2. Overjet 2,5 mm and overbite 0 mm .

3. Severe crowding on the upper and lower arch, .

4. Ectopic 13-23-43.

5. Mandibular teeth deviation to the right.

Patient’s mastication don’t show particular problems.

Patient’s face is symetric and in harmony frontal view.

Patient’s chief complaint is smile dysharmony

She is motivated to get a perfect smile

DIAGNOSTIC DESCRIPTION

OF THE MALOCCLUSION

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FRONTAL 45°

PROFILE

FACIAL PHOTOGRAPHS BEFORE TREATMENT KANARELIS PANAGIOTIS CASE NUMBER: 1 DATE: 26/01/2009 AGE: 18

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Right Buccal Left Buccal

Center

Upper Occlusal Lower Occlusal

INTRA-ORAL COLOUR PHOTOGRAPHS OF THE OCCLUSION BEFORE TREATMENT

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE:26/01/2009 AGE:18

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Mandibular teeth deviation to the right

KANARELIS PANAGIOTIS

CASE NUMBER:1

DATE:26/01/2009 AGE:18

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LATERAL SKULL RADIOGRAPH BEFORE TREATMENT

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE:26/01/2009 AGE:18

WBLO 7  

TRACING OF LATERAL SKULL RADIOGRAPH BEFORE TREATMENT

KANARELIS PANAGIOTIS

CASE NUMBER:1 DATE:26/01/2009 AGE:18

WBLOO l-1 

5,5

28,1

112,4

34

1,6

29,5 54,l

96,4

KANARELIS PANAGIOTIS CASE NUMBER1 DATE 2610112009 AGE 18

WBLO 08  

 Pre-

treatment

   Mean SD

Sagittal Skeletal

Maxillary Position S-N-A

84,4º    

82º ±3.5º

Mandibular Position S-N-Pg

79,7º    

80º ± 3.5º

Sagittal Jaw Relation A-N-Pg

4,7º    

2º ± 2.5º

Vertical Skeletal Relations

Maxillary Inclination S-N/ANS-

PNS

9,2º    

8º ± 3.0º

Mandibular Inclination S-N/Go-Gn

39º    

33º ± 2.5º

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE:26/01/2009 AGE:18

CEPHALOMETRIC MORPHOLOGICAL

WBLO 08-1  

Pre- treatment

   Mean SD

Vertical Jaw Relation

ANS- PNS/Go-Gn

25,3º

25º ± 6.0º

Dento- Basal

Relations

Maxillary Incisor

Inclination 1-ANS-PNS

121,7º

110º ± 6.0º

Mandibular Incisor

Inclination 1-Go-Gn

96,4º

94º ± 7.0º

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE:26/01/2009 AGE:18

CEPHALOMETRIC MORPHOLOGICAL

WBLO 08-2  

Mandibular Incisor

Compensati on

1 –A-Pg (mm)

6,6mm

2 ± 2.0

Dental Relations

Overjet (mm) 2,5mm    

2 ± 2.0

Overbite (mm)

0mm

   2 ± 2.5

Interincisal Angle

1/1

112,4º

    132º ± 6.0º

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE:26/01/2009 AGE:18

CEPHALOMETRIC MORPHOLOGICAL

WBLO 09  

INTERPRETATION OF CEPHALOMETRIC ASSESSMENT

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE:26/01/2009 AGE:18

1. Sagittal Skeletal Relations: ANB 5.6 º skeletal classe II malocclusion;

2. Vertical Skeletal Relations: Mandibular Inclination S-N/Go-Gn 39º;

3. Dento- Basal Relations: Excesive labial position of the upper incisors (121.7 º);

4. Dental relations: overjet 2,5mm,overbite 0mm ; increased interincisall

Angle (112,4 º) caused by the postion of the maxillary incisors;

5. Esthetic Profil: normal.

WBLO 10  

A) PANORAMIC RADIOGRAPH

BEFORE TREATMENT

B. INTERPRETATION OF PANORAMIC ASSESSMENT

KANARELIS PANAGIOTIS

CASE NUMBER:1

DATE:26/01/2009 AGE:18

Severe crowding of the anterior maxilla and mandibular teeth

Existence of 18-28-38-48

Periodontal diseases' of the anterior maxilla teeth

WBLO 11-1 

TREATMENT STEPS INTRA-ORAL VIEW COLOUR PHOTOGRAPHS

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE: 14/03/2009 AGE:18

WBLO 11-2 

TREATMENT STEPS INTRA-ORAL VIEW COLOUR PHOTOGRAPHS

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE: 11/04/2009 AGE:18

WBLO 11-3 

TREATMENT STEPS INTRA-ORAL COLOUR PHOTOGRAPHS

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE:22/06/2009 AGE:19

WBLO 11-4 

TREATMENT STEPS INTRA-ORAL COLOUR PHOTOGRAPHS

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE:25/01/2010 AGE:19

WBLO 11-5 

TREATMENT STEPS INTRA-ORAL COLOUR PHOTOGRAPHS

KANARELIS PANAGIOTIS CASE NUMBER: 1 DATE:28/07/2010 AGE:20

WBLO 11-6 

KANARELIS PANAGIOTIS CASE NUMBER 1 DATE 28/07/2010 AGE 20

WBLO 11-7 

TREATMENT STEPS INTRA-ORAL COLOUR PHOTOGRAPHS

KANARELIS PANAGIOTIS CASE NUMBER: 1 DATE:20/12/2010 AGE:20

WBLO 12-1  

FRONTAL SMILING

PROFILE

FACIAL PHOTOGRAPHS AT COMPLETION OF TREATMENT KANARELIS PANAGIOTIS CASE NUMBER: 1 DATE:14/02/2011 AGE:20

WBLO 12-2  

INTRA-ORAL PHOTOGRAPHS AT COMPLETION OF TREATMENT

KANARELIS PANAGIOTIS CASE NUMBER: 1 DATE:14/02/2011 AGE:20

TREATMENT STEPS INTRA-ORAL OCCLUSAL VIEW COLOUR PHOTOGRAPHS

FRONTAL VIEW

WBLO 13-1

WBLO 13-2 

TREATMENT STEPS INTRA-ORAL COLOUR PHOTOGRAPHS

LATERAL RIGHT VIEW

WBLO 13-3 

TREATMENT STEPS INTRA-ORAL COLOUR PHOTOGRAPHS

LATERAL LEFT VIEW

WBLO 13-4 

TREATMENT STEPS INTRA-ORAL UPPER OCCLUSAL VIEW COLOUR PHOTOGRAPHS

WBLO 13-5 

TREATMENT STEPS INTRA-ORAL LOWER OCCLUSAL VIEW COLOUR PHOTOGRAPHS

WBLO 14  

LATERAL SKULL RADIOGRAPH

AT COMPLETION OF TREATMENT

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE: 14/02/2011 AGE:20

WBLO 14-1 

Labionasal angle: 116,6 Up. lip to E-Plane: -2,6 Low. lip to E-Plane: -2,3 Z-angle (Merrifield): 75,2 H- angle: 12,5

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE: 14/02/2011 AGE:20

SNA: 84,5 Lande angle (FH- SNB: 78,6 Facial angl (FH-NP---0SNPog: 80,2 NSBa: 134,9 ANB: 5,9 \Vits ABO (m 1

SN-PP: 9,6 GoGn-SN: 34,B MP-PP: 22,8 Y-axis: 58,5 Gonial angle: 136.6 UFH \ TFH: LFH \ TFH:

Ul-FH: 10Ul-SN: 95Ul-PP: 10 Ul-APog: Ul to AP PP-FOP: AB-FOP· Ll-FOP: L l-APog. Ll to APo

SOFT-TISSUE MEASUR.

WBLO 14-2 

28,1

5,9

2,9

132,9 57,1

94,8

KANAR ELIS PANAG IOTIS CASE NUMBER:1 DATE: 14/0212011 AGE:20

WBLO 15  

 Pre-

treatment After-

treatment

 Mean SD

Sagittal Skeleatal

Maxillary Position S-N-A

84,4º 84.5º  

82º ±3.5º

Mandibular Position S-N-Pg

79,7º 80.2º  

80º ± 3.5º

Sagittal Jaw Relation A-N-Pg

4,7º 4.3º  

2º ± 2.5º

Vertical Skeletal Relations

Maxillary Inclination S-N/ANS-

PNS

9,2º 9.6º  

8º ± 3.0º

Mandibular Inclination S-N/Go-Gn

39º 34.3º  

33º ± 2.5º

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE: 14/02/2011 AGE:20

CEPHALOMETRIC MORPHOLOGICAL

WBLO 15-1  

 Pre-

treatment After

treatment

 Mean SD

Vertical Jaw Relation

ANS- PNS/Go-Gn

25,3º

22.8º

25º ± 6.0º

Dento- Basal

Relations

Maxillary Incisor

Inclination 1-ANS-PNS

121,7º

104.7º

110º ± 6.0º

Mandibular Incisor

Inclination 1-Go-Gn

96,4º

94.8º

94º ± 7.0º

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE: 14/02/2011 AGE:20

CEPHALOMETRIC MORPHOLOGICAL

WBLO 15-2  

Mandibular Incisor

Compensati on

1 –A-Pg (mm)

6,6mm

3.5mm

2 ± 2.0

Dental Relations

Overjet (mm) 2,5mm 2.5mm  

2º ± 2.0

Overbite (mm)

0mm 2 mm  

2 ± 2.5

Interincisal Angle

1/1

112,4º

132.9º

  132º ± 6.0º

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE: 14/02/2011 AGE:20

CEPHALOMETRIC MORPHOLOGICAL

WBLO 16  

A. INTRAORAL / PANORAMIC RADIOGRAPH

B. INTERPRETATION OF PANORAMIC ASSESSMENT

KANARELIS PANAGIOTIS

CASE NUMBER:1

DATE: 14/02/2011 AGE:20

Good parallelism of the anterior maxilla and mandibular teeth

18-28-38 48 must be extracted

Moderate apex resorption of the anterior maxilla teeth

Need for extraction of 18,28,38,48.

RADIOGRAPHIC ANALYSIS AT

COMPLETION OF TREATMENT

WBLO 17  

B. INTERPRETATION OF CEPHALOMETRIC ASSESSMENT

KANARELIS PANAGIOTIS

CASE NUMBER:1

DATE: 14/02/2011 AGE:20

1) Normalization of Mandibular Inclination S-N/Go-Gn (34.3º)

2) Normalization of Maxillary Incisor Inclination 1-ANS-PNS (104.7 º)

3) Normalization of Mandibular Incisor Compensation 1-A-Pg (3.5mm)

4) Normalization of Interincisal Angle 1/1 (132.9º)

RADIOGRAPHIC ANALYSIS AT

COMPLETION OF TREATMENT

WBLO 17-1  

GENERAL SUPERIMPOSITION

Superimposition on stable structures in the anterior

cranial base

KANARELIS PANAGIOTIS

CASE NUMBER:1

DATE: 14/02/2011 AGE:20

WBLO 17-2  

SUPERIMPOSITION OF THE MAXILLA

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE: 14/02/2011 AGE:20

WBLO 17-3  

SUPERIMPOSITION OF THE MANDIBLE

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE: 14/02/2011 AGE:20

WBLO 18 

FRONTAL SMILING

PROFILE

FACIAL PHOTOGRAPHS 6 MONTHS AFTER THE TREATMENT KANARELIS PANAGIOTIS CASE NUMBER:1 DATE: 01/09/2011 AGE:21

WBLO 18-1 

TREATMENT STEPS INTRA-ORAL COLOUR PHOTOGRAPHS

KANARELIS PANAGIOTIS CASE NUMBER:2 DATE:01/09/2011 AGE:21

AGE:22 CASE NUMBER:1 DATE: 30/05/2012KANARELIS PANAGIOTIS

WBLO 19

FRONTAL 45°

PROFILE

FACIAL PHOTOGRAPHS 15 MONTHS AT RETENTION / POST RETENTION

AGE:22 CASE NUMBER:1 DATE: 30/05/2012KANARELIS PANAGIOTIS

WBLO 19-1

Right Buccal Left Buccal

Center

Upper Occlusal Lower Occlusal

INTRA-ORAL COLOUR PHOTOGRAPHS AT 15 MONTHS RETENTION

WBLO 20  

A. INTRAORAL / PANORAMIC RADIOGRAPH

B. INTERPRETATION OF CEPHALOMETRIC ASSESSMENT

KANARELIS PANAGIOTIS

CASE NUMBER:1 DATE: 30/05/2012 AGE:22

1. Correction of the mandibular inclination (S-N/Go-Gn)

39º before treatment, 34.3º at the end of the treatment;

2. Correction of the Maxillary Incisor Inclination

(121.7º before treatment,104.7 after treatment);

3. Correction of the Mandibular Incisor Compensation 1-A-Pg

( 6.6mm before treatment, 3.5mm after treatment);

4. Correction of the Interincisal Angle

(112.4º before treatment, 132.9º after treatment).

1. Good parallelism of the anterior maxilla and mandibular teeth

2. 18-28-38 48 must be extracted

3. Moderate apex resorption of the anterior maxilla teeth

RADIOGRAPHIC ANALYSIS AT

COMPLETION OF TREATMENT

WBLO 21  

KANARELIS PANAGIOTIS CASE NUMBER:1 DATE: 30/05/2012 AGE:22

1. Very good alignment of the anterior upper and lower teeth;

2. Classe I molar and cuspid;

3. Normalization of the maxillary incisor inclination;

4. Correction of the Interincisal Angle;

5. 4 months of triangular lateral intermaxillary elastics;

6. 23 months of active treatment.

DESCRIPTION OF THE

TREATMENT RESULT

CONCLUSION

Before

After

After

Before

Before

After

Before

After

Before

After