Thank you for the case summary. The Invisalign treatment addressed the patient's chief complaint of crowding and achieved the treatment objectives. Minor refinements were made post-treatment to further improve esthetics.
Mandibular Symphyseal Distraction Osteogenesis and SARPE aao 2018 Washington ...Dr Sylvain Chamberland
SARPE and Mandibular Symphyseal Distraction Osteogenesis
Transverse skeletal deficiency is a common clinical problem associated with narrow basal and dentoalveolar bone. Bimaxillary transverse distraction osteogenesis for correction of OSA was first reported by Conley & Legan (2006). Mandibular symphyseal distraction osteogenesis (MSDO) evolve form tooth anchor device to bone anchor device for a better control of the distraction segment in the 3 planes of space. Its success depends on good collaboration between the orthodontist and the surgeon, and on strict patient selection. Throughout case reports, we will review the diagnosis, orthodontic and surgical treatment planning considerations to achieve clinical success.
Learning objective:
After this lecture you will be able to
1-Diagnose patient with transverse mandibular deficiency
2-Understand the distraction protocol
3-Manage the postdistraction orthodontic movement
1. Condylar resorption is most common in teenage girls and is associated with hormonal factors like low estrogen levels.
2. Multiple local and systemic factors can contribute to TMJ degeneration through mechanical overload, inflammation, and impaired cartilage and bone remodeling.
3. TMJ osteoarthritis progresses from early cartilage thinning to advanced bony changes, involving the entire joint through complex interactions between tissues over time.
The document summarizes research on various fixed appliances for managing Class II malocclusions:
1) Studies on the Xbow appliance found it resulted in mild maxillary restriction, dental effects of upper incisor palatal tipping and lower incisor labial tipping, and no significant skeletal effects on the mandible.
2) A study comparing the Xbow and Forsus appliances found they produced similar amounts of incisor inclination but the Forsus resulted in greater lower incisor proclination.
3) Research on the Forsus Fatigue Resistant Device (FRD) demonstrated it can effectively camouflage Class II malocclusions through maxillary restriction and dental effects like upper
1. This document presents a comprehensive dental case of a 21-year-old female patient seeking treatment for plaque, caries, and repair of bad teeth prior to braces installation.
2. The clinical findings include multiple carious and restored teeth, missing teeth, and a short root canal treated tooth requiring a crown.
3. The proposed treatment plan involves oral hygiene instruction, nonsurgical treatments like fillings and root canal retreatment, surgical extraction, and restorative treatments including crowns and bridges to address the patient's complaints and dental needs.
Objective: To evaluate the role of age as a moderator of bone regeneration patterns and
symphysis remodeling after genioplasty.
Method: Fifty-four patients who underwent genioplasty at the end of their orthodontic treatment
were divided into three age groups: younger than 15 years at the time of surgery (group 1), 15 to
19 years (group 2), and 20 years or older (group 3). Twenty-three patients who did not accept
genioplasty and had a follow-up radiograph 2 years after the end of their orthodontic treatment
were used as a control group. Patients were evaluated at three time points: immediate preoperative
(T1), immediate postoperative (T2,) and 2 years postsurgery (T3).
Results: The mean genial advancement at surgery was similar for the three age groups, but the
extent of remodeling around the repositioned chin was greater in group 1, less in group 2, and still
less in group 3. Symphysis thickness increased significantly during the 2-year postsurgery interval
for the three groups, and this increase was significantly greater in group 1 than in group 3.
Remodeling above and behind the repositioned chin also was greater in the younger patients. This
was related to greater vertical growth of the dentoalveolar process in the younger patients. There
was no evidence of a deleterious effect on mandibular growth.
Conclusion: The outcomes of forward-upward genioplasty include increased symphysis
thickness, bone apposition above B point, and remodeling at the inferior border. When indications
for this type of genioplasty are recognized, early surgical correction (before age 15) produces a
better outcome in terms of bone remodeling.
Clear Aligners in Orthodontics
nvisalign is an orthodontic
technique that uses a series of
computer-generated custom
plastic aligners to guide the teeth
gradually into proper alignment.
• Although the use of clear aligner
treatment is not new, it is a
growing part of the orthodontic
market, and, as a result, many
new products have become
available.
Nadine Hassan, a 46-year-old Lebanese housewife, presented with pain and a bad smell when chewing on her old bridge. She wanted to fix her teeth and have a beautiful smile. Her medical history included an allergy to penicillin. Her dental history showed multiple extractions due to decay and pain, root canals, and a bridge. Her oral exam found poor hygiene, decay, failed restorations, and mild to moderate periodontitis. Her treatment plan involved emergency extractions, nonsurgical treatments like cleanings and restorations, surgical treatments like extractions and a sinus lift, and restorative treatments like crowns, bridges, and implants.
Mandibular Symphyseal Distraction Osteogenesis and SARPE aao 2018 Washington ...Dr Sylvain Chamberland
SARPE and Mandibular Symphyseal Distraction Osteogenesis
Transverse skeletal deficiency is a common clinical problem associated with narrow basal and dentoalveolar bone. Bimaxillary transverse distraction osteogenesis for correction of OSA was first reported by Conley & Legan (2006). Mandibular symphyseal distraction osteogenesis (MSDO) evolve form tooth anchor device to bone anchor device for a better control of the distraction segment in the 3 planes of space. Its success depends on good collaboration between the orthodontist and the surgeon, and on strict patient selection. Throughout case reports, we will review the diagnosis, orthodontic and surgical treatment planning considerations to achieve clinical success.
Learning objective:
After this lecture you will be able to
1-Diagnose patient with transverse mandibular deficiency
2-Understand the distraction protocol
3-Manage the postdistraction orthodontic movement
1. Condylar resorption is most common in teenage girls and is associated with hormonal factors like low estrogen levels.
2. Multiple local and systemic factors can contribute to TMJ degeneration through mechanical overload, inflammation, and impaired cartilage and bone remodeling.
3. TMJ osteoarthritis progresses from early cartilage thinning to advanced bony changes, involving the entire joint through complex interactions between tissues over time.
The document summarizes research on various fixed appliances for managing Class II malocclusions:
1) Studies on the Xbow appliance found it resulted in mild maxillary restriction, dental effects of upper incisor palatal tipping and lower incisor labial tipping, and no significant skeletal effects on the mandible.
2) A study comparing the Xbow and Forsus appliances found they produced similar amounts of incisor inclination but the Forsus resulted in greater lower incisor proclination.
3) Research on the Forsus Fatigue Resistant Device (FRD) demonstrated it can effectively camouflage Class II malocclusions through maxillary restriction and dental effects like upper
1. This document presents a comprehensive dental case of a 21-year-old female patient seeking treatment for plaque, caries, and repair of bad teeth prior to braces installation.
2. The clinical findings include multiple carious and restored teeth, missing teeth, and a short root canal treated tooth requiring a crown.
3. The proposed treatment plan involves oral hygiene instruction, nonsurgical treatments like fillings and root canal retreatment, surgical extraction, and restorative treatments including crowns and bridges to address the patient's complaints and dental needs.
Objective: To evaluate the role of age as a moderator of bone regeneration patterns and
symphysis remodeling after genioplasty.
Method: Fifty-four patients who underwent genioplasty at the end of their orthodontic treatment
were divided into three age groups: younger than 15 years at the time of surgery (group 1), 15 to
19 years (group 2), and 20 years or older (group 3). Twenty-three patients who did not accept
genioplasty and had a follow-up radiograph 2 years after the end of their orthodontic treatment
were used as a control group. Patients were evaluated at three time points: immediate preoperative
(T1), immediate postoperative (T2,) and 2 years postsurgery (T3).
Results: The mean genial advancement at surgery was similar for the three age groups, but the
extent of remodeling around the repositioned chin was greater in group 1, less in group 2, and still
less in group 3. Symphysis thickness increased significantly during the 2-year postsurgery interval
for the three groups, and this increase was significantly greater in group 1 than in group 3.
Remodeling above and behind the repositioned chin also was greater in the younger patients. This
was related to greater vertical growth of the dentoalveolar process in the younger patients. There
was no evidence of a deleterious effect on mandibular growth.
Conclusion: The outcomes of forward-upward genioplasty include increased symphysis
thickness, bone apposition above B point, and remodeling at the inferior border. When indications
for this type of genioplasty are recognized, early surgical correction (before age 15) produces a
better outcome in terms of bone remodeling.
Clear Aligners in Orthodontics
nvisalign is an orthodontic
technique that uses a series of
computer-generated custom
plastic aligners to guide the teeth
gradually into proper alignment.
• Although the use of clear aligner
treatment is not new, it is a
growing part of the orthodontic
market, and, as a result, many
new products have become
available.
Nadine Hassan, a 46-year-old Lebanese housewife, presented with pain and a bad smell when chewing on her old bridge. She wanted to fix her teeth and have a beautiful smile. Her medical history included an allergy to penicillin. Her dental history showed multiple extractions due to decay and pain, root canals, and a bridge. Her oral exam found poor hygiene, decay, failed restorations, and mild to moderate periodontitis. Her treatment plan involved emergency extractions, nonsurgical treatments like cleanings and restorations, surgical treatments like extractions and a sinus lift, and restorative treatments like crowns, bridges, and implants.
Bharat /certified fixed orthodontic courses by Indian dental academy Indian dental academy
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
This document describes a case of infantile esotropia in a 2-month old girl. Key details include:
- Esotropia was first noted shortly after birth and was around 70 prism diopters initially.
- Visual acuity was assessed over several visits from ages 2-24 months and esotropia amount gradually decreased.
- Bilateral medial rectus recessions were performed at 6 months which successfully aligned the eyes.
The case demonstrates the typical presentation and treatment of congenital esotropia with surgery.
This document discusses Ellis Class I and II fractures, which involve enamel and possibly dentin fractures of teeth from direct impact. It notes that these fractures occur in 26-76% of cases and are usually caused by direct impact to the enamel. The document outlines the terminology used, clinical findings like crazing or patterns seen in enamel, and that radiographic imaging can identify fractures. It also briefly mentions provisional and definitive treatment options.
This document discusses different types of traumatic dental injuries including concussions, luxations, fractures, and root fractures. It provides details on clinical signs, radiographic findings, treatment objectives, and treatment plans for each type of injury. Concussions involve inflammation of the periodontal ligament without tooth displacement. Luxations occur when a tooth is displaced from its socket, often tearing the periodontal ligament. Fractures can be confined to enamel, extend into dentin, or expose the dental pulp. Root fractures occur below the gumline. Treatment aims to relieve pain, reposition displaced teeth, and restore tooth structure depending on the specific injury.
This document provides tips for achieving optimal aesthetics of the anterior teeth. It discusses various principles of aesthetic dentistry including smile analysis using facial reference lines, tooth dimensions and proportions, treatment planning, crown lengthening, bleaching, and treatment of gingival recession. Specific tips are provided for procedures like crown lengthening surgery, implant site development, and the use of biomaterials like Emdogain and Mucograft to treat recession and increase keratinized tissue width. The overall message is that achieving optimal anterior tooth aesthetics requires a multidisciplinary approach, thorough treatment planning, and understanding of the scientific principles of aesthetics.
Clear aligners are a revolutionary orthodontic treatment method that uses custom-made, removable, clear plastic aligners to gradually move teeth into the desired position. The treatment utilizes CAD/CAM technology to digitally plan and guide tooth movements through sequential aligner trays worn for two weeks each. Clear aligners are a viable treatment option for less complex malocclusions and offer advantages like aesthetics, comfort, and reduced treatment time compared to traditional braces. However, clear aligners also have limitations in the types of tooth movements that can be accurately achieved. Careful patient selection and use of ancillary devices may be needed to optimize clinical outcomes.
The document provides guidelines for managing traumatic dental injuries in primary teeth. It discusses special considerations for injuries in primary teeth including their close relationship to developing permanent teeth. Treatment guidelines are presented for different types of injuries like fractures, luxations, avulsions and alveolar fractures. Clinical and radiographic examinations are important. Potential sequelae are outlined. Splinting may be used for alveolar fractures or intruded teeth. Antibiotics are usually not needed unless other injuries require surgery. Crown discoloration is common after luxation but root canals are not indicated unless infection is present.
Guidelines for dental radiographs for pediatric and adolescent Stephanie Chahrouk
This document provides guidelines for prescribing dental radiographs for pediatric and adolescent patients. It outlines indications for when radiographs are needed, such as with a new patient evaluation, recall patients with or without clinical caries, or for monitoring growth. Recommendations include bitewing radiographs every 6-12 months for recall patients with clinical caries or increased risk, and every 12-24 months for low risk recall patients. Special considerations are provided for taking radiographs in infants, disabled children, and those with gag reflexes. The document also discusses specialized radiographic techniques like CT, xeroradiography, CBCT and MRI.
This document provides an overview of traumatic dental injuries, including:
- Common causes of dental trauma like sports accidents, assaults, and biting hard objects.
- Garcia & Godoy's classification system for injuries which includes enamel fractures, crown fractures, root fractures, luxations, and avulsions.
- Diagnostic methods like clinical examination, vitality testing, and radiography to evaluate injuries.
- Descriptions and treatment approaches for different injury types such as direct pulp capping, pulpotomy, endodontic treatment, and reattachment of fragments.
- Factors that influence healing of injuries like distance between fragments and immobilization duration.
The document serves as a reference for
Dental radiology related to pedodonticsSunny Purohit
This document discusses the use of dental radiology for pediatric patients. It begins with a brief history of x-rays and their early use in dentistry. Various types of dental radiographs are described, including intraoral periapical, bitewing, occlusal, and panoramic images. Indications for different radiographs in children are provided. Techniques for improving pediatric patient cooperation and reducing radiation exposure are also outlined, such as desensitization and use of positioning devices. Potential radiation effects are discussed as well as safety measures like lead aprons. Guidelines for prescribing dental radiographs in pediatric patients from the AAPD are also mentioned.
This document discusses cracked tooth syndrome, including its classification, incidence, etiology, symptoms, diagnosis, and treatment. It begins with a brief history of cracked tooth classification from the 1950s onwards. Cracked tooth syndrome can be classified into different types including craze lines, cracked teeth, fractured cusps, split teeth, and vertical root fractures. Cracked teeth most commonly occur in those aged 30-50 years old and involve the mandibular molars. Symptoms include pain from cold or pressure. Diagnosis involves dental history, visual examination, tactile examination, bite tests, staining, transillumination, and sometimes radiographs. Treatment aims to stabilize the crack immediately with splints or crowns and may involve
This document discusses diagnosis and treatment planning for removable partial dentures. It begins by defining key terms like diagnosis, treatment planning, and removable partial denture. It emphasizes the importance of a thorough patient interview and medical/dental history to accurately diagnose issues and develop a treatment plan. The document outlines factors to consider in the patient interview and examining the patient's mouth, teeth and bone. It discusses how various medical conditions and medications can impact treatment and the need to consult physicians in some cases.
Present a schedule for follow up of patients who have sustained dental injuriesRuhi Kashmiri
This document outlines follow-up schedules for different types of dental injuries to permanent and primary teeth. It provides guidelines for clinical and radiographic examinations over time based on the injury, from a few weeks post-injury to yearly checks for several years. Adhering to these schedules allows monitoring of healing and early detection of potential complications. Injuries are grouped by category such as hard tooth structures, supporting structures, and supporting bone fractures. Recommended follow-ups vary from no follow-up needed to weekly, monthly, 6-month, and yearly checks, depending on the specific injury and predicted healing timeline.
This document discusses the Roth philosophy of orthodontic treatment. It describes how Dr. Roth modified the Andrews Straight Wire Appliance based on his own clinical experience and occlusion studies. Some key points:
- Roth increased torque on upper anterior brackets to improve esthetics and occlusion. He also eliminated mesial tip on posterior brackets to improve anchorage.
- Roth developed his own bracket prescription and archwire forms to allow for overcorrection of tooth positions to account for post-treatment settling.
- Roth emphasized achieving functional occlusion in centric relation as the goal of treatment, using gnathologic principles and articulated study models.
- Roth advocated dynamic treatment planning tailored to each patient's needs, using various appliances
Diagnosis and treatment planning for removable partial denturesKelly Norton
The document discusses the process of diagnosis and treatment planning for removable partial dentures. It involves a thorough patient interview and medical/dental history to understand the patient's needs and concerns. A comprehensive clinical examination including intraoral photos, diagnostic casts, and x-rays is then used to evaluate the oral health, identify treatment needs, and assess teeth for suitability as abutments. The findings are interpreted to formulate a treatment plan addressing disease management and prosthetic reconstruction.
Treatment of a young female patient wit a combination of Invisalign and distalizing appliance. Well treated by one of our students under my supervision.
Please comment
This document presents a case study for a 33-year-old male patient seeking orthodontic treatment. Key findings from the clinical examination include class II malocclusion with 9mm overjet, proclined upper and lower incisors, severe crowding in both arches, and constricted maxillary arch form. Cephalometric and model analysis indicate the patient has a Class II skeletal pattern with normal vertical proportions. Treatment goals are to retract upper anterior teeth, expand the maxillary arch, and relieve crowding to achieve ideal occlusion.
Bharat /certified fixed orthodontic courses by Indian dental academy Indian dental academy
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
This document describes a case of infantile esotropia in a 2-month old girl. Key details include:
- Esotropia was first noted shortly after birth and was around 70 prism diopters initially.
- Visual acuity was assessed over several visits from ages 2-24 months and esotropia amount gradually decreased.
- Bilateral medial rectus recessions were performed at 6 months which successfully aligned the eyes.
The case demonstrates the typical presentation and treatment of congenital esotropia with surgery.
This document discusses Ellis Class I and II fractures, which involve enamel and possibly dentin fractures of teeth from direct impact. It notes that these fractures occur in 26-76% of cases and are usually caused by direct impact to the enamel. The document outlines the terminology used, clinical findings like crazing or patterns seen in enamel, and that radiographic imaging can identify fractures. It also briefly mentions provisional and definitive treatment options.
This document discusses different types of traumatic dental injuries including concussions, luxations, fractures, and root fractures. It provides details on clinical signs, radiographic findings, treatment objectives, and treatment plans for each type of injury. Concussions involve inflammation of the periodontal ligament without tooth displacement. Luxations occur when a tooth is displaced from its socket, often tearing the periodontal ligament. Fractures can be confined to enamel, extend into dentin, or expose the dental pulp. Root fractures occur below the gumline. Treatment aims to relieve pain, reposition displaced teeth, and restore tooth structure depending on the specific injury.
This document provides tips for achieving optimal aesthetics of the anterior teeth. It discusses various principles of aesthetic dentistry including smile analysis using facial reference lines, tooth dimensions and proportions, treatment planning, crown lengthening, bleaching, and treatment of gingival recession. Specific tips are provided for procedures like crown lengthening surgery, implant site development, and the use of biomaterials like Emdogain and Mucograft to treat recession and increase keratinized tissue width. The overall message is that achieving optimal anterior tooth aesthetics requires a multidisciplinary approach, thorough treatment planning, and understanding of the scientific principles of aesthetics.
Clear aligners are a revolutionary orthodontic treatment method that uses custom-made, removable, clear plastic aligners to gradually move teeth into the desired position. The treatment utilizes CAD/CAM technology to digitally plan and guide tooth movements through sequential aligner trays worn for two weeks each. Clear aligners are a viable treatment option for less complex malocclusions and offer advantages like aesthetics, comfort, and reduced treatment time compared to traditional braces. However, clear aligners also have limitations in the types of tooth movements that can be accurately achieved. Careful patient selection and use of ancillary devices may be needed to optimize clinical outcomes.
The document provides guidelines for managing traumatic dental injuries in primary teeth. It discusses special considerations for injuries in primary teeth including their close relationship to developing permanent teeth. Treatment guidelines are presented for different types of injuries like fractures, luxations, avulsions and alveolar fractures. Clinical and radiographic examinations are important. Potential sequelae are outlined. Splinting may be used for alveolar fractures or intruded teeth. Antibiotics are usually not needed unless other injuries require surgery. Crown discoloration is common after luxation but root canals are not indicated unless infection is present.
Guidelines for dental radiographs for pediatric and adolescent Stephanie Chahrouk
This document provides guidelines for prescribing dental radiographs for pediatric and adolescent patients. It outlines indications for when radiographs are needed, such as with a new patient evaluation, recall patients with or without clinical caries, or for monitoring growth. Recommendations include bitewing radiographs every 6-12 months for recall patients with clinical caries or increased risk, and every 12-24 months for low risk recall patients. Special considerations are provided for taking radiographs in infants, disabled children, and those with gag reflexes. The document also discusses specialized radiographic techniques like CT, xeroradiography, CBCT and MRI.
This document provides an overview of traumatic dental injuries, including:
- Common causes of dental trauma like sports accidents, assaults, and biting hard objects.
- Garcia & Godoy's classification system for injuries which includes enamel fractures, crown fractures, root fractures, luxations, and avulsions.
- Diagnostic methods like clinical examination, vitality testing, and radiography to evaluate injuries.
- Descriptions and treatment approaches for different injury types such as direct pulp capping, pulpotomy, endodontic treatment, and reattachment of fragments.
- Factors that influence healing of injuries like distance between fragments and immobilization duration.
The document serves as a reference for
Dental radiology related to pedodonticsSunny Purohit
This document discusses the use of dental radiology for pediatric patients. It begins with a brief history of x-rays and their early use in dentistry. Various types of dental radiographs are described, including intraoral periapical, bitewing, occlusal, and panoramic images. Indications for different radiographs in children are provided. Techniques for improving pediatric patient cooperation and reducing radiation exposure are also outlined, such as desensitization and use of positioning devices. Potential radiation effects are discussed as well as safety measures like lead aprons. Guidelines for prescribing dental radiographs in pediatric patients from the AAPD are also mentioned.
This document discusses cracked tooth syndrome, including its classification, incidence, etiology, symptoms, diagnosis, and treatment. It begins with a brief history of cracked tooth classification from the 1950s onwards. Cracked tooth syndrome can be classified into different types including craze lines, cracked teeth, fractured cusps, split teeth, and vertical root fractures. Cracked teeth most commonly occur in those aged 30-50 years old and involve the mandibular molars. Symptoms include pain from cold or pressure. Diagnosis involves dental history, visual examination, tactile examination, bite tests, staining, transillumination, and sometimes radiographs. Treatment aims to stabilize the crack immediately with splints or crowns and may involve
This document discusses diagnosis and treatment planning for removable partial dentures. It begins by defining key terms like diagnosis, treatment planning, and removable partial denture. It emphasizes the importance of a thorough patient interview and medical/dental history to accurately diagnose issues and develop a treatment plan. The document outlines factors to consider in the patient interview and examining the patient's mouth, teeth and bone. It discusses how various medical conditions and medications can impact treatment and the need to consult physicians in some cases.
Present a schedule for follow up of patients who have sustained dental injuriesRuhi Kashmiri
This document outlines follow-up schedules for different types of dental injuries to permanent and primary teeth. It provides guidelines for clinical and radiographic examinations over time based on the injury, from a few weeks post-injury to yearly checks for several years. Adhering to these schedules allows monitoring of healing and early detection of potential complications. Injuries are grouped by category such as hard tooth structures, supporting structures, and supporting bone fractures. Recommended follow-ups vary from no follow-up needed to weekly, monthly, 6-month, and yearly checks, depending on the specific injury and predicted healing timeline.
This document discusses the Roth philosophy of orthodontic treatment. It describes how Dr. Roth modified the Andrews Straight Wire Appliance based on his own clinical experience and occlusion studies. Some key points:
- Roth increased torque on upper anterior brackets to improve esthetics and occlusion. He also eliminated mesial tip on posterior brackets to improve anchorage.
- Roth developed his own bracket prescription and archwire forms to allow for overcorrection of tooth positions to account for post-treatment settling.
- Roth emphasized achieving functional occlusion in centric relation as the goal of treatment, using gnathologic principles and articulated study models.
- Roth advocated dynamic treatment planning tailored to each patient's needs, using various appliances
Diagnosis and treatment planning for removable partial denturesKelly Norton
The document discusses the process of diagnosis and treatment planning for removable partial dentures. It involves a thorough patient interview and medical/dental history to understand the patient's needs and concerns. A comprehensive clinical examination including intraoral photos, diagnostic casts, and x-rays is then used to evaluate the oral health, identify treatment needs, and assess teeth for suitability as abutments. The findings are interpreted to formulate a treatment plan addressing disease management and prosthetic reconstruction.
Treatment of a young female patient wit a combination of Invisalign and distalizing appliance. Well treated by one of our students under my supervision.
Please comment
This document presents a case study for a 33-year-old male patient seeking orthodontic treatment. Key findings from the clinical examination include class II malocclusion with 9mm overjet, proclined upper and lower incisors, severe crowding in both arches, and constricted maxillary arch form. Cephalometric and model analysis indicate the patient has a Class II skeletal pattern with normal vertical proportions. Treatment goals are to retract upper anterior teeth, expand the maxillary arch, and relieve crowding to achieve ideal occlusion.
This document presents a clinical case of a 39-year-old female patient seeking orthodontic treatment. The patient complains of wanting to align her upper and lower teeth due to crowding and not liking her tooth appearance. The clinical examination finds moderate crowding in the upper arch and severe crowding in the lower arch, as well as a class II incisor relationship and right canine class 3 relationship. The diagnosis identifies problems related to the patient's dentofacial appearance, arch form, alignment, and skeletal and dental relationships in the transverse, anteroposterior, and vertical planes. The aim of treatment is to improve the patient's oral health, smile esthetics, alignment, and skeletal and dental relationships.
This orthodontic case presentation summarizes the chief concerns of a 20-year-old female college student. She presents with spaced upper and lower front teeth. Her other orthodontic issues include a class three incisal relationship, posterior crossbite, shifted lower midline, and rotated teeth. Her proposed treatment plan is to address these dental esthetic and functional concerns through nonextraction orthodontics combined with periodontal procedures like frenectomy. The goals of treatment are to close spaces, eliminate malocclusion, improve dental alignment and function, and achieve a good occlusion. Retention protocols include fixed retainers and removable retainers.
This document presents the case of a 32-year-old female patient seeking treatment to align her lower teeth and hide her upper gum during smiling. Her clinical examination revealed gummy smile, crowding on the lower arch, and asymmetry of the gingival margins when smiling. The treatment plan is to relieve crowding, correct midline shifts, achieve normal overjet and overbite, intrude the upper posterior teeth to reduce gummy smile, and perform gingival reshaping. Appliances to be used include low bracket placement, extraction of teeth #18 and #28, TPA, lingual arch, and mini-screw anchorage.
This document provides clinical information for a general orthodontic evaluation of a patient. It includes the patient's name, age, and chief concern. Sections describe the patient's skeletal classification, dental characteristics, airway evaluation, and treatment goals. Clinical findings such as models, photos, and radiographs are presented. Potential treatment plans are outlined.
1. A 14-year-old female presented with irregular upper and front teeth and crowding. She had a Class II malocclusion with increased overjet.
2. Examination found narrow upper arch, diminished upper lateral incisors, and moderate crowding in the upper and lower front teeth.
3. Treatment will use TADs and headgear for anchorage, extract all 4 wisdom teeth, and use RME and MBT brackets to correct the malocclusion and align the teeth.
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.for more details please visit
www.indiandentalacademy.com
This orthodontic case involves a 16-year-old male patient presenting with a class 3 malocclusion and an impacted upper left canine. The proposed treatment plan is camouflage non-extraction therapy using removable appliances for anterior expansion and fixed appliances to align the teeth, correct rotations, relieve crowding, and traction the impacted canine into occlusion. Retention will involve removable and permanent retainers to maintain the corrected results.
The document discusses various orthodontic classification systems including Angle classification, arch forms, Bolton analysis, and facial proportions. It provides details on diagnosing malocclusions, treating different orthodontic cases, and factors to consider for successful treatment outcomes. Standard protocols are presented for assessing a patient's medical and dental history, growth status, esthetics, and occlusion.
This orthodontic case presentation is for a 13-year-old male patient with palatally positioned upper right second molar. Treatment aims to correct crowding, improve the deep overbite, and align the teeth. The proposed treatment plan is non-extraction camouflage using fixed appliances in both arches to align the teeth and correct the crossbite through space gained from arch expansion. Bite turbos and a miniscrew are also part of the treatment plan.
This document presents the orthodontic case of a 12-year-old female patient. She is dissatisfied with the appearance of her teeth and has a Class III malocclusion with crowding. Treatment aims to relieve crowding, correct rotations, and improve her smile appearance through nonextraction orthodontics while monitoring mandibular growth. Extractions are proposed to relieve moderate upper arch crowding and achieve a Class II molar relationship on the right side and 1/2 unit on the left. Fixed appliances and retention with removable and fixed retainers are recommended.
This document presents the orthodontic case of a 12-year-old female patient. She has a Class III skeletal pattern and dental malocclusion with crowding. Treatment aims to align the teeth through fixed appliances, extract four premolars to relieve crowding, and achieve a Class I canine and molar relationship while monitoring mandibular growth. Retention will involve permanent maxillary and mandibular retainers. The goal is to improve dental aesthetics and function through orthodontic camouflage of the mild skeletal discrepancy.
This 12-year-old female patient presented with malaligned upper and lower anterior teeth and a compromised smile. She has a Class I molar relationship on the left side and a 3/4 Class II relationship on the right side, with 1/2 unit Class II canine relationships bilaterally. Her dental problems include moderate crowding in both arches, a lower left scissors bite, and gingivitis. Two treatment options were proposed: high pull headgear to modify growth, or fixed appliances with premolar extractions and a Forsus appliance to correct the malocclusion while maintaining a Class I occlusion. The goal of treatment is to align the teeth, correct the midline, resolve crowding, and improve
This document provides a case presentation for an orthodontic patient named Yehya Khalid. The 12-year-old male presented with uneven teeth and a class II malocclusion. Clinical examination revealed crowding, impacted canines, gingivitis, and an increased overbite. Treatment goals included aligning the teeth, relieving crowding, correcting the malocclusion, and improving oral hygiene and smile esthetics. The proposed treatment plan was to use fixed appliances, extraction of teeth, and surgical exposure of impacted canines over 2 years, followed by permanent retention to maintain results.
The patient presented with Class II malocclusion, crowding, midline discrepancies, and rotated teeth. The proposed treatment plan is to use a modified twin block appliance for growth modification followed by fixed appliances to align and level the teeth, close extraction spaces, and achieve Class I canine and molar relationships. Upon completion of active treatment, fixed retainers will be placed in the upper and lower arches for long-term retention.
T s age 32y , sex f, birth date july 10,1986Chhom Karath
This document presents a case study for a 32-year-old female patient seeking orthodontic treatment. The patient has a class II malocclusion with increased overjet, deep overbite, crowding, and rotated teeth. Two treatment options are proposed: 1) extraction of upper first premolars followed by fixed appliances or 2) non-extraction with use of high-pull headgear and sliding mechanics. Both options aim to correct the malocclusion, achieve ideal overjet and overbite, resolve crowding, and improve dental aesthetics and function. Progress is documented over the course of treatment with fixed appliances and various archwires.
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.for more details please visit
www.indiandentalacademy.com
analysi of records.pptx a topic of orthodonticsKhanMustafa3
The document provides an overview of methods for analyzing dental records, including cast analysis and radiographic analysis. It describes evaluating symmetry, arch form, alignment, dental relationships, and space analysis using dental casts. Radiographic analysis includes assessing teeth, bone, and relationships using techniques like panoramic radiographs, lateral cephalograms, and CBCT. Lateral cephalograms allow evaluation of skeletal, dental, and soft tissue measurements and relationships to assess growth, treatment needs, and outcomes.
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
हिंदी वर्णमाला पीपीटी, hindi alphabet PPT presentation, hindi varnamala PPT, Hindi Varnamala pdf, हिंदी स्वर, हिंदी व्यंजन, sikhiye hindi varnmala, dr. mulla adam ali, hindi language and literature, hindi alphabet with drawing, hindi alphabet pdf, hindi varnamala for childrens, hindi language, hindi varnamala practice for kids, https://www.drmullaadamali.com
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
How to Create a More Engaging and Human Online Learning Experience
Invisalign presentation
1. Case Presentation of a
typical orthodontic case of
moderate difficulty using
the Invisalign method
Name: A S, DMD IV, 2012
Date: March, 2012
2. Occlusion
Right Side Dental Midline Left Side
Molar Class: I Upper: On Molar Class: N/A
Canine Class: I Lower: On Canine Class: I
Pre-Treatment
3. Intra-Oral Examination
Teeth Present:
11-17, 21-25, 27
31-35, 37, 41-47
Arch Shape:
Upper: Normal to tapered
Lower: Normal to tapered
Pre-Treatment
4. Intra-Oral Examination
Clinical Findings:
Molars: Class I on right; Missing 26 & 36 on left
Canines: Class I
Missing: 18, 26, 28, 36, 38 & 48
OJ: 2 mm on right; 3 mm on left
OB: 50%
Mild crowding on both upper & lower incisors
Pre-Treatment
5. Intra-Oral Examination
Amount of Crowding:
Upper Arch: Mild ~ 3 mm
Lower Arch: Mild ~ 3mm
Pre-Treatment
6. Panoramic Radiograph Analysis
Clinical Findings:
No suspected decay or bone pathology
Permanent dentition: 26 teeth present (Missing 8’s, 26 & 36)
Pre-Treatment
8. Dental Cast Analysis
Bolton Analysis – Ideally 77%
Tooth Upper right Upper left Ideal
Central Incisor 8.5 8.0 8.85
Lateral Incisor 5.5 6.0 6.9
Canine 6.7 7.0 7.88
Tooth Lower right Lower left Ideal
Central incisor 5.1 5.0 5.5
Lateral incisor 5.3 5.4 6
Canine 5.4 5.2 6.95
• UA (Σ 13-23) = 41.7 mm
• LA (Σ 33-43) = 31.4 mm
• ( 31.4 / 41.7 ) x 100 = 75.3%
Pre-Treatment
9. Summary of Findings
Dental:
Molars: Class I on right; Missing 26 & 36 on left
Canines: Class I
Missing: 18, 26, 28, 36, 38 & 48
OJ: 2 mm on right; 3 mm on left
Increased OB (50%)
Lower dental midline deviates 2 mm to the left upon opening
Mild crowding on both upper & lower incisors
Normal to tapered arch shapes
6 mm of upper incisors showing at rest
Bolton analysis: 75.3%
Skeletal:
Symmetrical face; Normocephalic
Decreased lower face height
Slight-moderate convex profile Pre-Treatment
10. Diagnosis
Class I molar/canine
Maxillary anterior crowding
Mandibular anterior crowding
50% overbite
Flat to slight curve of spee
Pre-Treatment
11. Objectives of Treatment
Resolve patient’s chief complaint of
crowding
Decrease overbite
Maintain class I molar/canine
relationship
Maintain nasolabial angle
Maintain midlines
Pre-Treatment
13. Occlusion
Right Side Dental Midline Left Side
Molar Class: I Upper: On Molar Class: N/A
Canine Class: I Lower: On Canine Class: I
Post-Invisalign Treatment
14. Intra-Oral Examination
Teeth Present:
11-17, 21-25, 27
31-35, 37, 41-47
Arch Shape:
Upper: Normal to tapered
Lower: Normal to tapered
Crowding:
Upper: Normal
Lower: Normal
Post-Invisalign Treatment
16. Post-Invisalign Treatment Solution
Dimple-maker!
Dimples added to:
Tooth #32 - distal buccal incisal area
Tooth #41 - distal buccal incisal area
IPR on both tooth #32 & #41
Both teeth rotated into proper position within 2 weeks
Dimples then added to:
Tooth #31 - distal buccal incisal area & mesial lingual incisal area
Patient now satisfied with final results
Post-Invisalign Treatment
23. Dental Cast Analysis
Bolton Analysis – Ideally 77%
Tooth Upper right Upper left Ideal
Central Incisor 8.3 8.1 8.85
Lateral Incisor 5.8 5.8 6.9
Canine 7.3 7.1 7.88
Tooth Lower right Lower left Ideal
Central incisor 5.2 4.7 5.5
Lateral incisor 5.1 5.3 6
Canine 6.1 5.8 6.95
• UA (Σ 13-23) = 42.4 mm
• LA (Σ 33-43) = 32.2 mm
• ( 32.2 / 42.4 ) x 100 = 75.9%
Post-Treatment
24. Summary
Dental:
Molars: Class I on right; Missing 26 & 36 on left
Canines: Class I
No atempts made to resolve the skeletal discrepancy
OJ: 2 mm on right; 1 mm on left
OB (30%) - Decreased from 50% at pre-treatment
Lower dental midline deviates 2 mm to the left upon opening
Crowding issues on both upper & lower incisors resolved (addressed CC)
Normal to tapered arch shapes
6 mm of upper incisors showing at rest
Skeletal:
Symmetrical face; Normocephalic with dolichocephalic tendenty
remained
Slight-moderate convex profile remained
Post-Treatment
25. Conclusions
• Overall, patient is very satisfied as her chief
complaint has been addressed.
• Opted for Invisalign type retainers.
• IPR avoided any flaring of the dentition
• The upper incisors were not torqued enough
but the esthetic result is still very acceptable.