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Biographical information
Patient name: saleh
Age: 22 yrs
C.C : check my teeth
Dental Hx: simple restorations.
Medical Hx: fit and well.
Extra-oral ExaminationFrontal view
-Face is asymmetrical
-Lips are competent
Lower face height is -
normal(the distance form the eyebrow to
base of the nose are equal to the distance from
base of the nose to lower most of the chin).
Extra-oral examinationsmile assessment
- Acceptable smile aesthetic.
- Smile show the upper teeth to canine
-The smile show upper incisor with only interproximal gingiva visible.
Extra-oral examinationprofile assessment
-Skeletal pattern is class II(convex).
intra-oral examinationfrontal view
- Good oral hygiene & periodontal condition . No horizontal cross bite
intra-oral examinationright & left view left:
-class I molar relationship-class I canine relationship- Upright maxillary central incisor
Right:-class I canine relationship
intra-oral examinationupper occlusal view
-No missing teeth .
- Slight rotation of the lateral incisor.
- No spacing.
Entra-oral examinationlower occlusal view
-Amalgam restoration on # 36
-composit restoration and tooth preparation for crown on #46
-No spacing or crowding .
-No missing teeth.
Model analysisfrontal view
-no cross bite.
-Upper and lower mid line coincident .
-2mm overbite .
Model analysisleft & right occlusion
-left:
-class I molar relationship
-class I canine relationship
- Upright maxillary central incisor
Right:
-class I canine relationship
-2mm over jet
Model analysislower & upper occlusal view
-U shape arch form-No spacing or crowding -rotation of the lateral incisor-Available space – required
0space
-U shape arch form.- No spacing or crowding Available space – required
0space
Bolton ratio:
Overall Bolton ratio= 88 / 96 = 91.66 % ( 0.4 mm mandibular excess )
Anterior Bolton ratio= 37 / 48 = 79.08% ( no excess
Radiographic examinationpanoramic view
Radiographic examinationlateral cephalometric radiograph
InterpretationPatientNormalMeasurement
Skeletal relationship
Normal8081 +- 3SNA
Normal7578+_ 3SNB
Normal53+_2ANB
Vertical relationship
Clockwise rotation(posterior
inclination of max.)
148+_3SN-MxPI
Normal2427+_4MMPA
Normal53%55+_2Facial proportion
Denatl relationship
Proclination of upper incisor
119109+_6Ulnc to MxPL
Proclination of lower incisor
10293+_6Llnc to MNPl
Protrosion of lower incisor
6mm+1+_ 2mmLlnc to A-pog
Proclination of upper & lower
insisor
1114135+_10U1-L1
Soft tissue relashinship
normal97100+_10Naso-labial angle
normal-4-2 to -4Upper lip - EL
normal-10 to-2Lower lip - EL
Overall diagnostic summary
Diagnostic summary
Problems list
-Skeletal:- Normal skeletal relationship
-Dental:-proclination of upper and lower incisor .
-slight rotation of the upper lateral incisor .
-Soft tissue:
No soft tissue problem.
TREATMENT PLAN OHI.
Operative Tx.
Prstho Tx.
Ortho Tx.
Thank you