26. d srinu facial asymmetry dr. rahul vc tiwari, sibar institute of dental sciences, guntur, andhra...
TRANSCRIPT
![Page 1: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/1.jpg)
CASE PRESENTATIONORTHOGNATHIC SURGERY
PRESENTED BY
Dr. RAHUL TIWARI
3RD YEAR MDS - PG Student
DEPT. OF ORAL & MAXILLOFACIAL SURGERY
SIBAR INSTITUTE OF DENTAL SCIENCES
1
![Page 2: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/2.jpg)
PRELIMNARY DATA
Patient name – D SRINU Date – 23/07/2016
Age / sex – 22/M O.P.No. – 730541
Occupation – STUDENT Religion – HINDU
Marital status – UNMARRIED Blood group – O +VE
Date of birth – 20/6/1992 Socioeconomic status – GOOD
Address – CHIRALA GUNTUR Contact no. – 0961887515
2
![Page 3: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/3.jpg)
PATIENT CHIEF COMPLAINT
UNAESTHETIC APPEARENCE
3
![Page 4: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/4.jpg)
HISTORY OF PRESENT ILLNESS
2002- CONDYLECTOMY – 10 YRS AGE- CHENNAI
07/12/2015- SIDS- LE FORT 1, UNI. SAG RT. , IVRO LT. SIDE
4
![Page 5: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/5.jpg)
HISTORY
Past Medical History – NRH
Past Dental History – ORTHOGNATHIC SURGERY
Family History – NRH
Personal History – NRH
Drug History - NRH
5
![Page 6: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/6.jpg)
GENERAL PHYSICAL EXAMINATION
Height – 5’9” Weight – 68KG
Gait – NAD Built – AVERAGE
Nourishment – FAIR Signs of Clubbing – NO
Pulse – 78 Resp. Rate – 22
Blood Pressure- 130/84 Temperature – AFEBRILE
P.I.C.K.L.E. - NO
6
![Page 7: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/7.jpg)
EXTRA ORAL EXAMINATION 7
![Page 8: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/8.jpg)
EXTRA ORAL EXAMINATION 8
![Page 9: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/9.jpg)
OCCLUSION9
R.S- 26
![Page 10: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/10.jpg)
OTHER FINDINGS 10
OVERJET & OVERBITE
![Page 11: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/11.jpg)
INTRA ORAL EXAMINATION 11
![Page 12: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/12.jpg)
ANALYSIS 12
ASYMMETRIC FACE
INNER INTER CANTHAL- 32MM
INTER PUPILARY – 67MM
ALAR BASE WIDTH- 31MM
NOSE DORSUM LENGTH- 43MM
COLLUMELLA HEIGHT0- 10 MM
MOUTH WIDTH- 48MM
MOUTH OPENING – 52MM
UPPER FACE- 55MM
MIDDLE FACE- 49MM
LOWER FACE – 73MM
FACAIL FIFTHS – DISSIMMILAR
C CURVE – ONE BREAK
NASAL CONTOUR – CONVEX
NASOLABIAL ANGLE- ACUTE
UPPER LIP – 17MM
LOWER LIP – 46MM
LIP POSTURE- INCOMPITENT
LIP CONTOUR- EVERTED
LIP TEXTURE – FISSURED
![Page 13: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/13.jpg)
ANALYSIS13
INCISAL SHOW AT SMILE – 4MM
INCISAL SHOW AT REST- 2MM
GINGIVAL EXPOSURE – 0MM
CHIN FORM – RECESSIVE
MENTOLABIAL SULCUS- SHALLOW
MENTALIS ACTIVITY – ABSENT
CHI THROAT ANGLE- OBTUSE
DENTAL MIDLINE – 2MM DEVIATED RT. SIDE
OVERJET – 11MM
OVERBITE- 10 MM
MOLAR RELATION- ABSENT
CANNINE REALTION- CLASS I
BRACHYCEPHALIC HEAD
LEPTOPROSCOPIC FACE
![Page 14: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/14.jpg)
INVESTIGATIONS- RADIOLOGICAL 14
![Page 15: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/15.jpg)
INVESTIGATIONS- RADIOLOGICAL 15
![Page 16: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/16.jpg)
INVESTIGATIONS- RADIOLOGICAL16
![Page 17: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/17.jpg)
INVESTIGATIONS- RADIOLOGICAL 17
![Page 18: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/18.jpg)
18
PRE OPERATIVE POST OPERATIVE
![Page 19: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/19.jpg)
19
PRE-OPERATIVE
![Page 20: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/20.jpg)
ANALYSIS20
POST -OPERATIVE
![Page 21: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/21.jpg)
RO
CK
Y M
OU
NTA
IN A
NA
LYSIS
21
11.5 mm
10.8 mm
0 mm
0.7 mm
85.8 mm 72.1 mm66.2 mm 65.2 mm
85.8-66.2 =19.6
72.1-65.2 = 6.719.6-6.9 = 12.7
(1.27 cm.)
![Page 22: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/22.jpg)
VTO22
![Page 23: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/23.jpg)
INVESTIGATIONS-HEAMATOLOGICAL
CBP
GRBS
VIRAL MARKERS
OTHERS - PAC
23
![Page 24: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/24.jpg)
PROBLEM LIST
ASYMMETRIC FACE
ASYMMETRIC CHIN
TEETH SHOWN DURING REST
ANTERIOR PROCLAINED TEETH
24
![Page 25: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/25.jpg)
DIAGNOSIS
FACIAL ASYMMETRY
25
![Page 26: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/26.jpg)
PREVIOUS SURGERIES
CONDYLECTOMY ON LEFT SIDE
LE FORT 1 OSTEOTOMY
UNILATERAL SSRO ON RIGHT SIDE
IVRO ON LEFT SIDE OF MANDIBLE
26
![Page 27: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/27.jpg)
TREATEMENT PLAN
ILEAC CREST GRAFTING FROM ANGLE TO BODY ON RIGHT SIDE
PROPELLAR GENIOPLASTY ON THE ANTERIOR MANDIBLE
ANTERIOR MAXILLARY OSTEOTOMY OF SETBACK OF 4MM
27
![Page 28: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/28.jpg)
ILEAC GRAFT HARVESTING28
![Page 29: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/29.jpg)
PROPELLER GENIOPLASTY29
![Page 30: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/30.jpg)
ANTERIOR MAXILLARY OSTEOTOMY30
![Page 31: 26. d srinu facial asymmetry Dr. RAHUL VC TIWARI, SIBAR INSTITUTE OF DENTAL SCIENCES, GUNTUR, ANDHRA PRADESH, INDIA.CASE PRESENTATION](https://reader030.vdocuments.mx/reader030/viewer/2022020120/587333961a28ab596c8b7179/html5/thumbnails/31.jpg)
THANK YOU
31