orthognathic Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA....

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1CASE PRESENTATIONORTHOGNATHIC SURGERY

PRESENTED BYDr. RAHUL TIWARI

3RD YEAR MDS - PG StudentDEPT. OF ORAL & MAXILLOFACIAL SURGERY

SIBAR INSTITUTE OF DENTAL SCIENCES

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2PRELIMNARY DATA Patient name – YERUVA PRIYANKA Date – 07/07/16 Age / sex – 18/F Occupation – 1ST YR PHARMA Religion – HINDU Marital status – UNMARREIED Blood group – A +VE Date of birth –29-07-1997 Socioeconomic status – GOOD Address – SIRIPURAM, MEDIKONDA,GUNTUR Contact no. – 9966860358

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3PATIENT CHIEF COMPLAINT

PT C/O FORWARDELY PLACED UPPER FRONT TEETH

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4HISTORY OF PRESENT ILLNESS

PT UNDERWENT EXTRACTION WITH 34,44 & UNDERGOING ORTHODONTIC TREATEMENT SINCE THEN

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5HISTORY

Past Medical History – NRH Past Dental History – EXTRACTION AND ORTHODONTIC T/T SINCE 1 YR Family History –  NRH Personal History – BRUSHES ONCE DAILY IN THE MORNING Drug History - NRH Pre-natal History Birth History – NRH Post Natal History – NRH

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6GENERAL PHYSICAL EXAMINATION

Height – 5.7” Weight – 42 KG

Gait – NAD Built – THIN Nourishment – FAIR Signs of Clubbing –

NO Pulse – 68 B/MIN Resp. Rate –

18C/MIN Blood Pressure- 130/82 MM HG Temperature – P.I.C.K.L.E. - NO

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7EXTRA ORAL EXAMINATION

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8HALF LATERAL PROFILE

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9INTRA ORAL EXAMINATION

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10OCCLUSION

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11ANALYSISSYMMETRIC FACEINNER INTER CANTHAL- 32MMINTER PUPILARY – 67MMALAR BASE WIDTH- 32MMNOSE DORSUM LENGTH- 44MMCOLLUMELLA HEIGHT0- 16 MMMOUTH WIDTH- 51MMUPPER FACE- 51MMMIDDLE FACE- 53MMLOWER FACE – 64MMFACAIL FIFTHS – SIMMILARC CURVE – FULLNASAL CONTOUR – CONVEXNASOLABIAL ANGLE- ACUTEUPPER LIP – 22MMLOWER LIP – 42MMLIP POSTURE- INCOMPITENTLIP CONTOUR- EVERTEDLIP TEXTURE – NORMAL

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12ANALYSISINCISAL SHOW AT SMILE – 12MM(2MM GINGIVA +10 MM CROWN)INCISAL SHOW AT REST- 7MMGINGIVAL EXPOSURE - 2MM ON SMILECHIN FORM – RECESSIVEMENTOLABIAL SULCUS- DEEPMENTALIS ACTIVITY – ABSENTCHI THROAT ANGLE- OBTUSEDENTAL MIDLINE – COINCIDEOVERJET – 8MMOVERBITE-9 MMMOLAR RELATION- CLASS II DIV I (RT)CLASS I (LT) i.e. CLASS II SUBDIVISIONCANNINE REALTION- CLASS I

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13CEPHALOMETRICS

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14PROBLEM LIST

FORWARDELY PLACED UPPER INCISOR GINGIVAL AND TEETH SHOWN DURING SMILE

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15VTO – Mandible

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16VTO Maxilla

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17INVESTIGATIONS- RADIOLOGICAL

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18INVESTIGATIONS- RADIOLOGICAL

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19INVESTIGATIONS- HEAMATOLOGICAL

CBP RBS VIRAL MARKERS

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20INVESTIGATIONS- OTHERS

PAC

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21DIAGNOSIS

CLASS II DIV I MALOCCLUSION MAXILLARY PROGNATHISM MANDIBULAR RETROGNATHISM

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22TREATEMENT PLAN

BSSO AMO

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23THANK YOU