european society of lingual orthodontics -...
TRANSCRIPT
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