Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA. TMJ ORTHOGNATHIC CASE PRESENTATION

1. PRESENTED BY
DR RAHUL TIWARI
2ND YR PG
DEPT OF OMFS
SIBAR
Case presentation

2.  Name: P.Vihitha
 Age/sex: 24/F
 Address: vijayawada
 Occupation:B TECH PROFESSIONAL
 Contact no.: 8008315835
PRELIMNARY DATA
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3.  Pt complains of forwardly placed upper front teeth since childhood.
Chief complaint
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4. • Past medical history:
• Past dental history:
• Drug history:
• Personal history:
• Family history:
• Condition of mother during pregnancy: Normal
• Delivery: Full Term
• Type: Normal
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5. • Build and nourishment:
• Gait:
• Pallor:
• Icterus:
• Cyanosis:
• Lymph node examination:
• Edema:
General physical examination
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6.  Shape of head : Mesocephalic
 Shape of face : Mesoproscopic
 Profile: convex
 Lips: Incompetent
Extra-oral examination
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7.  Nasiolabial angle: acute
 Mento labial sulcus: deep
 Chin: Retrusive
 Chin throat angle: obtuse
 Tmj:
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8.  Upper third: 53.9 mm
 Middle third: 53.8mm
 Lower third: 59mm
 Philtrum: 12mm
 Lip length: 22mm
 Alar width: 39mm
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9.  Maximum mouth opening: 44 mm
 Molar relation: Angle’s class 2
 Overjet: 9mm
 Overbite: 4mm
Intra oral examination
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10.  Angle’s class2 malocclusion.
 Retrognathic mandible.
Provisional diagnosis
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11. INVESTIGATION - OPG
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INVESTIGATION- LATERAL CEPHALOGRAM

13. INVESTIGATION- 3DCT
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15. 10/28/2016
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TREATEMENT
BSSRO with ADVANCEMENT OF 8mm.

16. 10/28/2016
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THANK YOU