orthognathic Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA. CASE PRESENTATION
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This document presents a case for orthognathic surgery. It summarizes the patient's background information, chief complaint of forwardly placed upper front teeth, dental and medical history, examination findings including facial analysis and cephalometric measurements, problem list of maxillary prognathism and mandibular retrognathism, investigation results, diagnosis, and proposed treatment plan of bilateral sagittal split osteotomy (BSSO) and anterior maxillary osteotomy (AMO) to correct the class II div I malocclusion.
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orthognathic Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA. CASE PRESENTATION
- 1. CASE PRESENTATION ORTHOGNATHIC SURGERY PRESENTED BY Dr. RAHUL TIWARI 3RD YEAR MDS - PG Student DEPT. OF ORAL & MAXILLOFACIAL SURGERY SIBAR INSTITUTE OF DENTAL SCIENCES 1
- 2. PRELIMNARY DATA Patient name – YERUVA PRIYANKA Date – 07/07/16 Age / sex – 18/F Occupation – 1ST YR PHARMA Religion – HINDU Marital status – UNMARREIED Blood group – A +VE Date of birth – 29-07-1997 Socioeconomic status – GOOD Address – SIRIPURAM, MEDIKONDA,GUNTUR Contact no. – 9966860358 2
- 3. PATIENT CHIEF COMPLAINT PT C/O FORWARDELY PLACED UPPER FRONT TEETH 3
- 4. HISTORY OF PRESENT ILLNESS PT UNDERWENT EXTRACTION WITH 34,44 & UNDERGOING ORTHODONTIC TREATEMENT SINCE THEN 4
- 5. HISTORY Past Medical History – NRH Past Dental History – EXTRACTION AND ORTHODONTIC T/T SINCE 1 YR Family History – NRH Personal History – BRUSHES ONCE DAILY IN THE MORNING Drug History - NRH Pre-natal History Birth History – NRH Post Natal History – NRH 5
- 6. GENERAL PHYSICAL EXAMINATION Height – 5.7” Weight – 42 KG Gait – NAD Built – THIN Nourishment – FAIR Signs of Clubbing –NO Pulse – 68 B/MIN Resp. Rate – 18C/MIN Blood Pressure- 130/82 MM HG Temperature – P.I.C.K.L.E. - NO 6
- 8. HALF LATERAL PROFILE 8
- 10. OCCLUSION 10
- 11. ANALYSIS 11 SYMMETRIC FACE INNER INTER CANTHAL- 32MM INTER PUPILARY – 67MM ALAR BASE WIDTH- 32MM NOSE DORSUM LENGTH- 44MM COLLUMELLA HEIGHT0- 16 MM MOUTH WIDTH- 51MM UPPER FACE- 51MM MIDDLE FACE- 53MM LOWER FACE – 64MM FACAIL FIFTHS – SIMMILAR C CURVE – FULL NASAL CONTOUR – CONVEX NASOLABIAL ANGLE- ACUTE UPPER LIP – 22MM LOWER LIP – 42MM LIP POSTURE- INCOMPITENT LIP CONTOUR- EVERTED LIP TEXTURE – NORMAL
- 12. ANALYSIS 12 INCISAL SHOW AT SMILE – 12MM (2MM GINGIVA +10 MM CROWN) INCISAL SHOW AT REST- 7MM GINGIVAL EXPOSURE - 2MM ON SMILE CHIN FORM – RECESSIVE MENTOLABIAL SULCUS- DEEP MENTALIS ACTIVITY – ABSENT CHI THROAT ANGLE- OBTUSE DENTAL MIDLINE – COINCIDE OVERJET – 8MM OVERBITE-9 MM MOLAR RELATION- CLASS II DIV I (RT) CLASS I (LT) i.e. CLASS II SUBDIVISION CANNINE REALTION- CLASS I
- 14. PROBLEM LIST FORWARDELY PLACED UPPER INCISOR GINGIVAL AND TEETH SHOWN DURING SMILE 14
- 16. VTO Maxilla 16
- 19. INVESTIGATIONS- HEAMATOLOGICAL CBP RBS VIRAL MARKERS 19
- 21. DIAGNOSIS CLASS II DIV I MALOCCLUSION MAXILLARY PROGNATHISM MANDIBULAR RETROGNATHISM 21
- 22. TREATEMENT PLAN BSSO AMO 22
- 23. THANK YOU 23