This document summarizes a patient's orthodontic treatment plan. It includes information about the patient's medical history, dental history, oral hygiene habits, impressions, intraoral examination findings, study cast analysis, radiographic images, and cephalometric measurements and analysis. The patient is a 30-year old Saudi male who wants to improve his teeth appearance. He has Class II skeletal pattern with maxillary protrusion and mandibular crowding. The proposed treatment plan involves using cross elastics and expansion appliances in Phase I, followed by fixed appliances in Phase II, to resolve crowding, decrease overbite, maintain midline, and finalize occlusion.

1. AlFarabi College
Clinical Orthodontic
Level 11
Course Director :
Dr . Anas Alomari

2. 1 Osama Ahmad Al- Masri
2 Mustafa Haddad
3 Mohammad Tunje
4 Faisal Onizi
5 Abdullah Aloufi
6 Hazem Khateeb

3. • Patient’s Personal Data ..
• Age : 30
• Gender : Male
• Nationality : Saudi
• Status : Single
• Patient Attitude : Cooperative

4. Chief Complaint
” أريد أن أرتب مظهر أسناني العام ”
I want to improve my teeth apperance !

5. Past Medical H
Free from Systemic diseases
Respiratory system : 0 GIT : 0
Urinary tract : 0
Nervous system : 0
Endocrine system : 0
Cardiopulmonary : 0
Blood disease :0
Hospitalization : 0
Medications : 0

6. Medical History Report
Asthma : No
Abnormal Blood pressure : No
D.M : No
Allergies : No
Pneumonia : No
Hepatitis : No
T.B : No
Thyroid problems : No

7. NAD
Nothing abnormalities detected
# Hypertension : His mother
# D.M : His Father
# Bad habits : 0
Medical history
Family history

8. Dental history
Last dental visit ?
One month ago
Made Composite Filling
Without any complications

9. oral hygiene Activities
# Good Oral Hygiene
# Patient brush his teeth Daily .
# Technique of brushing: Horizontal Scrub.
# Uses a “ soft ” brush.
# Doesn’t change his toothbrush very often.
# Doesn’t floss.
# Doesn’t visit the dentist nor the hygienist periodically

10. Impression = Silicone

12. The
Cast

15. Intra Oral
Examination
# Gingiva , Tongue,
floor of the mouth
,Palate and
Mucosa are
all with in the
normal limit (WNL).

16. ..

17. ..

18. ..

19. Clinical Ex.

20. Facial Type : Dolichocephalic
Symmetry : symmetric
Lower Facial Height : increased
Midline shift
Normal mentalis muscle

21. Profile :
Slight to moderate Convexity
Nasolabial Angle : obtuse

23. Tongue at Rest: Normal
Swallowing Pattern: Normal
Muscles of Mastication: WNL
TMJ: Normal articulation
Normal range of motion
Normal muscles of mastication Pre-Treatment

24. Study Cast Analysis
( # ) Maxilla Mandible
Space Required 74.5 69.5
Space Available 75 68
Space Discrepancy 0.5 -1.5
Inter Canine Width 33 27

25. Bolton’s Analysis
Overall Ratio Anterior Ratio
Excess Mandible Excess Mandible
3.1 mm 1 mm

26. Molar and Canine Relations
Molar relation : Class I , Canine relation : Class I

27. Panorama
- Permanent dentition : 28 teeth present
- Missing : 4 teeth #18 , #28 , #46 , #48
- Newly Extracted Sockets : # 46 , #48
- There are decayed teeth #36 , # 25
- There is no bone pathology

28. Lateral Cephal

29. Tracing of Cephal

30. Measurement Mean PT.
±
ANB 3 1 6
±
SNA 81 2 86
SNB 78 3 80
±
±
MMp 27 4 32
±
U1 / P.P 109 5 119
±
L1 / M.P 93 5 104
±
U1/ L1 133 9 110

31. Measurement Mean PT.
A’N’B’ 7 2 15
±
N-Labial Angle 102 8 112
±
Ls- Eline -1 2 -3
±
Li – Eline -2 2 -1
±

32. Summary :
Skeletal pattern : Class II
Max. to cranial base : Protruded
Mand. to cranial base : Normal
Max incisor related to Max. : Protruded
Max incisor to Mand. Incisor : Decreased

33. Soft tissue Analysis :
Profile : Convex
Nasolabial Angle : Obtuse
Upper Lip : Normal
Lower Lip : Normal

34. Problem List
Alignment and Symmetry
Max : Spacing ( 0.5 mm )
Mand Crowding (1.5 mm )
Transverse relation
Skeletal :
Cross bite “ Unilateral Buccal Posterior Cross bite with displacement “

35. Problem List
# Mand shift to right about 2 mm due to
cross bite and Mild Crowding
# Minimal Over jet 1-2 mm - Mild
skeletal Class II
due to Max protrusion
# Dental class I molar and canine

36. Treatment Objectives :
• Chief Complaint
To Restore:
Function.
Structure.
Esthetics.
Treatment plan

37. Treatment plan
Objectives of Treatment
- Resolve patient’s chief complaint of
crowding and Malocclusion
- Decrease overbite
- Maintain midline

38. Treatment plan
Phase I
1- Cross elastics.
2- Expansion of upper arch by :
A- Quad helix (fixed)
B- Hawley appliance ( removable)

39. Phase II
Full Fixed appliance to finalize the
occlusion ,

40. الحمدلله
It’s Done

41. Design of presentation : Osama Ahmad

42. Course Director :