Souminicpc /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078

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Souminicpc /certified fixed orthodontic courses by Indian dental academy

  1. 1. INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. NAME: Soumini AGE : 27 YEARS SEX : FEMALE CHIEF COMPLAINT : Forwardly placed teeth, patient is not satisfied with her appearance www.indiandentalacademy.com
  3. 3. CLINICAL EXAMINATION RECORDS • ATHLETIC BUILD , MESOMORPHIC BODY TYPE,NORMAL GAIT AND ERECT POSTURE EXTRAORAL EXAMINATIONS: • • • • • • • • • • SHAPE OF THE HEAD FACIAL FORM FACIAL PROFILE FACIAL DIVERGENCE FMA MAXILLA MANDIBLE INCISOR VISIBILITY LIPS MENTALIS - MESOCEPHALIC - MESOFACIAL - CONVEX - POSTERIOR DIVERGENCE - HIGH - PROTRUSIVE - RETRUSIVE - 7 mm - INCOMPETENT - HYPERACTIVE www.indiandentalacademy.com
  4. 4. EXTRA ORAL PHOTOGRAPHS www.indiandentalacademy.com
  5. 5. INTRAORAL EXAMINATION • • • No. of teeth present -28 Periodontal status –normal Tongue size-normal Maxillary Arch • mild crowding • U- shaped symmerical arch, MandibularArch • mild crowding • flat Curve of Spee • U- shaped symmerical arch, www.indiandentalacademy.com
  6. 6. www.indiandentalacademy.com
  7. 7. Antero-Posterior Relationship Molar relationship - Angles’s Class I Incisor relationship: Overjet - 0 Overbite - 0 mm (Edge to edge bite) Canine relationship: Class I www.indiandentalacademy.com
  8. 8. LATERAL CEPHALOGRAM www.indiandentalacademy.com
  9. 9. OPG www.indiandentalacademy.com
  10. 10. STEINER’S ANALYSIS ANGLES PRE TREATMENT SNA 82° 86 ° SNB 80° 77° ANB 2° 9° Go Gn to SN 32° 39° Occl. Pl to SN SKELETAL NORMAL (RANGE) 14° U1 to N-A(mm) 4mm 11mm U1 to N-A (Angle) 22° 35 ° L1 to N-B (mm) 4mm 21mm L1 to N-B (Angle) 25° 53° Int. Inc. Angle 134° 84° DENTAL www.indiandentalacademy.com
  11. 11. FEMALES MEAN S.D LANDMARKS CRANIAL BASE Ar PTM (HP) PTM-N (HP) 32.8 ± 50.9 ± 1.9 3.0 PATIENT VALUE 36mm 54mm HORIZONTAL (Sk.) 2.6 -2.0 -6.9 -6.5 ± ± ± ± 5.4 +2 4.3 5.1 18º +1.5mm -13mm -14mm ± ± ± ± ± ± ± ± 2.4 3.3 2.2 5.0 1.7 1.8 1.3 1.9 52mm 69mm 47mm 32º 31mm 47mm 27mm 35mm 52.6 ± 3.5 46.8 ± 2.5 74.3 ± 5.8 7.2 ± 1.9 122.0 ± www.indiandentalacademy.com 6.9 58mm 39mm 78mm 6mm 135º N-A-Pg angle N-A (HP) N-B (HP) N-Pg (HP) VERTICAL (Sk. and DENTAL) N-ANS (HP) ANS-Gn (HP) PNS-N (HP) MP-HP angle Upper incisor –NF Lower incisor-MP Upper molar-NF Lower molar-MP 50.0 61.3 50.6 24.2 27.5 40.8 23.3 32.1 MAXILLA –MANDIBLE PNS-ANS (HP) Ar-Go (linear) Go-Pg(linear) B-Pg (MP) Ar-Go-Gn angle
  12. 12. WITT’S APPRAISAL: Pretreatment:: AO ahead of BO by 5mm Inference : Sk. Cl II Female: BO ahead of AO by 0.10mm Nasolabial angle- 92° SOFT TISSUE ANALYSIS (HOLDAWAY) MEAN VALUE PRE TREATMENT 90° 82° 2.5 mm 4mm -2 to+2mm 10 mm 7 - 15° 25° 12mm (max) 4mm Upper sulcus depth 5mm 14mm Upper lip thickness 15mm 12mm Upper lip strain 14 – 16 mm 6mm lower lip – H line -2 1 ± 2mm 8mm ANGLES Facial angle Upper lip curvature Skeletal convexity to point A H – line angle Nose tip to H line Lower sulcus depth www.indiandentalacademy.com 5mm 1mm
  13. 13. Diagnosis : • Angle’s Cl I molar relationship with bidentoalveolar protrusion on a Cl II Skeletal base with normally positioned maxilla and retruded mandible • Edge to edge bite • Mild crowding in the upper and lower anteriors • Convex facial profile • High FMA Treatment Objectives: • Alignment of upper/lower arches • Correction of dentoaleolar protrusiom • Enhancement of facial esthetics www.indiandentalacademy.com
  14. 14. Treatment Plan: • Alignment using 0.22 Roth prescription bracket system. • Surgical correction of upper and lower dentoalveolar protrusion by – Anterior maxillary segmental osteotomy – Lower anterior subapical osteotomy • Post surgical Orthodontics for finishing and detailing www.indiandentalacademy.com
  15. 15. www.indiandentalacademy.com
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  17. 17. www.indiandentalacademy.com
  18. 18. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

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