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1CASE PRESENTATIONORTHOGNATHIC SURGERY

PRESENTED BYDr. RAHUL TIWARI

2ND YEAR MDS - PG StudentDEPT. OF ORAL & MAXILLOFACIAL SURGERY

SIBAR INSTITUTE OF DENTAL SCIENCES

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CASE PRESENTATION/RT

2PRELIMNARY DATA

Patient name – S DURGA DEVI Date – 26/4/16

Age / sex – 28/F O.P.No. – Occupation – HOUSE HOLD Religion – HINDU Marital status – UNMARRIED Blood group –A+ve Date of birth –22/7/1987 Socioeconomic

status – GOOD Address – D.NO. 7-17-83/1, 4TH LANE, GUNTUR Contact no. – 09100573911

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3PATIENT CHIEF COMPLAINT

Forwardely placed tooth

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4HISTORY OF PRESENT ILLNESS

Underwent orthodontic treatment before 1 yr

Placed only on lower arch n t/t discarded due to some personal

reason

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5HISTORY

Past Medical History – Past Dental History – Family History –   Personal History – Drug History - Pre-natal History Birth History – Post Natal History –

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6GENERAL PHYSICAL EXAMINATION

Height – 5’1” Weight – 67kg

Gait – Built – Nourishment – Signs of

Clubbing – Pulse –

Resp. Rate – Blood Pressure-

Temperature – Body Mass Index – P.I.C.K.L.E. -

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7EXTRA ORAL EXAMINATION

PROFILE05/02/2023 12:14:08 AM

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8

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9INTRA ORAL EXAMINATION

OCCLUSION05/02/2023 12:14:10 AM

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10

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11ANALYSIS MESOCEPHALIC LEPTOPROSCOPIC SYMMETRIC FACE INTER CANTHAL-32 INTER PUPILLARY- 65 ALAR BASE- 29 NOSE DORSUM- 38 COLLUMELLA- 11 UPPER FACE- 55 MIDDLE FACE- 55 LOWER FACE- 64 FACIAL FIFTHS- SIMILAR NASAL CONTOUR- CONVEX

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12 NASOLABIAL- ACUTE UPPERLIP- 17 LOWER LIP- 47 INCOMPETENT LIP EVERTED LIP INCISAL SHOW AT SMILE- 7mm INCISAL SHOW AT REST- 4mm GINGIVAL EXPOSURE- 0mm NORMAL CHIN FORM

MENTALIS ACTIVITY- ABSENT

OBTUSE CHIN THROAT ANGLE

DENTAL MIDLINE COINCIDE

OVERJET- 5mm

OVERBITE-4mm

ANGLES CLASS II DIV. I

CANNINE CLASS II

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13PROBLEM LIST

Forwardely placed teeth

Spacing

Unaesthetic appearance

Replacement of missing tooth

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14INVESTIGATIONS- RADIOLOGICAL

OPG

LAT CEPH

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15INVESTIGATIONS- HEAMATOLOGICAL

CBP

GRBS

Viral markers

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16DIAGNOSISSkeletal

A postpubertal 28 yrs female patient with skeletal class II bases, hypodivergent growth pattern and prognathic maxilla

Dental

Angles class II Div I malocclusion with Proclined upper and lower anteriors.

Soft tissue

Leptoprosopic face with convex facial profile, soft tissues matching skeletal base

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17TREATEMENT PLAN

AMO & SAO

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18THANK YOU