EUROPEAN SOCIETY OF LINGUAL ORTHODONTICS · european society of lingual orthodontics kanarelis panagiotis (takis) case number: 1 year: 2012. ... cephalometric morphological. wblo

EUROPEAN SOCIETY

OF LINGUAL

ORTHODONTICS

WBLO 1

EUROPEAN

SOCIETY

OF LINGUAL

ORTHODONTICS KANARELIS PANAGIOTIS (TAKIS)

CASE NUMBER: 1

Year: 2012

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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

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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


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TRACING OF LATERAL SKULL RADIOGRAPH BEFORE TREATMENT


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

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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


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



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



WBLO 09

INTERPRETATION OF CEPHALOMETRIC ASSESSMENT


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.

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A) PANORAMIC RADIOGRAPH

BEFORE TREATMENT

B. INTERPRETATION OF PANORAMIC ASSESSMENT


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

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TREATMENT STEPS INTRA-ORAL VIEW COLOUR PHOTOGRAPHS

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

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TREATMENT STEPS INTRA-ORAL VIEW COLOUR PHOTOGRAPHS


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TREATMENT STEPS INTRA-ORAL COLOUR PHOTOGRAPHS


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

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

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FRONTAL SMILING

PROFILE

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

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INTRA-ORAL PHOTOGRAPHS AT COMPLETION OF TREATMENT


TREATMENT STEPS INTRA-ORAL OCCLUSAL VIEW COLOUR PHOTOGRAPHS

FRONTAL VIEW

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LATERAL RIGHT VIEW

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LATERAL LEFT VIEW

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TREATMENT STEPS INTRA-ORAL UPPER OCCLUSAL VIEW COLOUR PHOTOGRAPHS

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TREATMENT STEPS INTRA-ORAL LOWER OCCLUSAL VIEW COLOUR PHOTOGRAPHS

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LATERAL SKULL RADIOGRAPH

AT COMPLETION OF TREATMENT


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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


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.

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28,1

5,9

2,9

132,9 57,1

94,8

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

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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



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



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



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A. INTRAORAL / PANORAMIC RADIOGRAPH

B. INTERPRETATION OF PANORAMIC ASSESSMENT


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

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B. INTERPRETATION OF CEPHALOMETRIC ASSESSMENT


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)



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GENERAL SUPERIMPOSITION

Superimposition on stable structures in the anterior

cranial base


CASE NUMBER:1

DATE: 14/02/2011 AGE:20

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SUPERIMPOSITION OF THE MAXILLA


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SUPERIMPOSITION OF THE MANDIBLE


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FRONTAL SMILING

PROFILE

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

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

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FRONTAL 45°

PROFILE

FACIAL PHOTOGRAPHS 15 MONTHS AT RETENTION / POST RETENTION

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

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Right Buccal Left Buccal

Center

Upper Occlusal Lower Occlusal

INTRA-ORAL COLOUR PHOTOGRAPHS AT 15 MONTHS RETENTION

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A. INTRAORAL / PANORAMIC RADIOGRAPH

B. INTERPRETATION OF CEPHALOMETRIC ASSESSMENT


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



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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

Documents

EUROPEAN SOCIETY OF LINGUAL ORTHODONTICS · european society of lingual orthodontics kanarelis panagiotis (takis) case number: 1 year: 2012. ... cephalometric morphological. wblo