european society of lingual orthodontics -...

European Society ofEuropean Society ofLingual Orthodontics Lingual Orthodontics

Patient: Morgane R.

Applicant: Last Name : Becker First Name : Germain1

RÉSUMÉ OF CASERÉSUMÉ OF CASE

Before

After Active

After Retention

2

DIAGNOSTIC DESCRIPTION OF THE MALOCCLUSION

Diagnostic:Age: 38 years – Gender: FemalePatient’s Chief Complaint: Upper Central Incisors tipped

forward; space 11, 21!

• 1- Bilateral cuspid & molar Class I occlusion• 2- Upper & Lower incisors overlapped• 3- 11, 21 tipped forward + space

3

October 2006

Facial PhotographsFacial Photographs4

October 2006

Intra – oral photos 5

October 2006

6Skull X-ray

Analyse céphalométrique (Tweed) Richard 1Type morphologique

Sens vertical Type squelettique Sens sagittal Type esthétique

NORMES VALEURS CLINIQUES

DIAGNOSTIC

FMA 25° +- 3° 22° Normodivergente

Axe Y 60° 62° Confirme la normodivergence

FMIA 67° +-3° 63° Incisive inférieure vestibulée sur sa base

AO BO 2mm 2 mm Classe I squelettiqueAO-BO -2mm -+2mm

2 mm Classe I squelettique

SNA 82° +-2° 82° Normomaxillie

SNB 80° 2° 81° N dib liSNB 80° +-2° 81° Normomandibulie

ANB 2° 1° Classe I squelettique

I/Fr 107° 125° Vestibuloversion incisive supérieure

I/i 135° 115° Bipro

ImPA 90° +-3° 95° Vestibuloversion incisive inférieure

Angle Z 75° +-3° 84° Dysharmonie facial

October 2006October 2006

Panoramic X-ray

9

RADIOGRAPHIC ANALYSIS BEFORE TREATMENT

• 1- No wisdom teeth• 2 no periodontic pp• 2- no periodontic pp• 3- no other pp

11

LINGUAL TREATMENT PLAN AND REASON FOR IT

• 1- Limited stripping• 2 Align and reshape arches• 2- Align and reshape arches• 3- Close space 11, 21

12

RÉSUMÉ OF THE LINGUAL ORTHODONTICRÉSUMÉ OF THE LINGUAL ORTHODONTICTREATMENT CARRIED OUT INCLUDING ANY

DIFFICULTIES ENCOUNTEREDDIFFICULTIES ENCOUNTERED

• 1- Idem description on previous slide• 2- Space closure 11, 21 risk of relapseSpace c osu e , s o e apse

13

March 2007

14aIntra – oral photos

August 2007g

Intra – oral photos 14b

January 2008y

Facial PhotographsFacial Photographs15

January 2008y

16Intra – oral photos

January 2008y

17Skull X-ray

Analyse céphalométrique (Tweed) Richard 2 Type morphologique

Sens vertical Type squelettique Sens sagittal Type esthétique

NORMES VALEURS CLINIQUES

DIAGNOSTIC

FMA 25° +- 3° 23° Normodivergente

Axe Y 60° 60° Confirme la normodivergence

FMIA 67° +-3° 65° Incisive inférieure bien placé sur sa base

AO BO 2mm 2 mm Classe I squelettiqueAO-BO -2mm -+2mm

-2 mm Classe I squelettique

SNA 82° +-2° 82° Normomaxillie

SNB 80° 2° 80° N dib liSNB 80° +-2° 80° Normomandibulie

ANB 2° 2° Classe I squelettique

I/Fr 107° 115° Vestibuloversion incisive supérieure

I/i 135° 125° Bipro

ImPA 90° +-3° 92° Normoversion incisive inférieure

Angle Z 75° +-3° 76° Harmonie facial

PERIAPICAL OR PANORAMIC RADIOGRAPHS ATCOMPLETION OF TREATMENTCOMPLETION OF TREATMENT

Panoramic X-ray

20

RADIOGRAPHIC ANALYSIS AT COMPLETION OF TREATMENT

• 1- Idem description on previous slide• 2- Space closure 11, 21 risk of relapse

21

RESULTDESCRIPTION

• Treatment time: 12 months

• 1- Classe I maintained• 2- 11, 21 retruded & space closure

Risk of relapse!– Risk of relapse!• 3- Lower incisors alignedg

22

FACIAL PHOTOGRAPHS AT RETENTION/ POSTRETENTIONRETENTION/ POSTRETENTION

Facial PhotographsFacial Photographs23

INTRA-ORAL COLOUR PHOTOGRAPHS AT RETENTION / POST-RETENTIONRETENTION / POST-RETENTION

24Intra – oral photos

November 2008

Panoramic X-ray

27a

RADIOGRAPHIC ANALYSIS AT RETENTION OF TREATMENT

• 1- Idem description on previous slide• 2- Space closure 11, 21 risk of relapse

27b

RENTENTION RESULTDESCRIPTION

• Treatment time:12 active & 12 retaining months12 active & 12 retaining months

• 1- Classe I maintained2 11 21 t d d & l• 2- 11, 21 retruded & space closure– Risk of relapse!p

• 3- Lower incisors aligned

28a

Intra oral Tx - result study

28b

Intra oral occlusal Tx - result study

28d

Facial Tx - result study

Smile

Smile

28cSmile