european society of lingual orthodonticssagittal jaw relation s-n-b 80º 3.5º mandibular position...

EUROPEAN

SOCIETY

Year: 2010

CASE NUMBER: 1

CANDIDATE NUMBER: KKDr. kanarelis KP.

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SOCIETY

ORTHODONTICS

OF LINGUAL

RESUME OF CASE 1

appliance APPLIANCE: Upper & lower lingual fixed orthodontic

TEETH MISSING BEFORE TREATMENT: 0

CLASSIFICATION: Adult malocclusion - Class III

PRETREATMENT RECORDS:

SEX: M

BORN: 03.01.1989

NAME : IOANNIS .G

ADULT MALOCCLUSION

TREATMENT STARTED:

AGE:18 DATE:09.02.2007

AGE:

TREATMENT PLAN:

CASE CATEGORY:

TREATMENT STARTED:

TIME OUT OF RETENTION: still in retention

(POST-) RETENTION RECORDS:

RETENTION TIME: unlimited

RETENTION ENDED:

RETAINERS:

POSTTREATMENT RECORDS:

ACTIVE TREATMENT TIME: 21 months

TREATMENT ENDED:

AGE: 18 DATE: 11-04-2007

AGE:21 DATE:18-06-2010

DATE: not ended

DATE: 17-01-2009

a)lower: not ended

a)upper: not ended

a)lower:

a)upper:

AGE: 20 DATE: 17-01-2009

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AGE: 20 DATE: 17-01-2009

A. SUMMARY

OF THE MALOCCLUSION

DIAGNOSTIC DESCRIPTION

D. INTRAORAL EXAMINATION

C. FUNCTIONAL EXAMINATION

B. EXAMINATION OF HEAD AND FACE

to mentionPatient’s mastication shows no particular problem

Facial asymmetry, face. angle high and mandible the right ofdeviation

Young man years). (10-12 treatment orthodontic previous with old, years 18

1.Very

teeth. lower and upper posterior the of amalgams many hygiene,badIII molar and canine.

E. DENTAL CASTS

Occlusion Transversal: ok

Occlusion Vertical: -2 m m

Occlusion Sagittal: 0 mm Class III

Maxillary arch: moderate the of rotation 13; 23;

Mandibular arch: crowding anteriors the of

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CASE NUMBER: 1CANDIDATE NUMBER: DATE: 09.02.2007 AGE: 18

5. Mesial in rotation of caninesthe upper

4. Lingual-version

3. Crowding on the arch lower

2. Overjet 0 mm and overbite -2 mm

incisors mandibular theof

SMILINGFRONTAL

PROFILE

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CANDIDATE NUMBER: CASE NUMBER: 1 DATE: 09.02.2007 AGE: 18

FACIAL PHOTOGRAPHS BEFORE TREATMENT

Left BuccalRight Buccal

Lower Occlusal Upper Occlusal

Center

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TREATMENTINTRA-ORAL COLOUR PHOTOGRAPHS START THE OF

DATE: 09.02.2007 AGE: 18

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CANDIDATE NUMBER: CASE NUMBER: 1

LATERAL SKULL RADIOGRAPH BEFORE TREATMENT

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BEFORE TREATMENT

TRACING OF LATERAL SKULL RADIOGRAPH

DATE: 09.02.2007 AGE: 18CANDIDATE NUMBER: CASE NUMBER: 1

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ANALYSE TWEED MERRYFIELD

CEPHALOMETRIE

Start Tt

80.6°°±80SNB

78.7°°±82SNA 2

2

14.1°10OP/F

76.4°°±87IMPA

39°°±25FMA

-1.9°°±ANB 2 2

3

3

°

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ASSESSMENT 1

CEPHALOMETRIC MORPHOLOGICAL

2.5º33º38.6S-N / Go-Gn

Mandibular Inclination

3.0º8º

S-N / ANS-PNS

Maxillary Inclination

Vertical Skeletal Relations

2.5º2ºA-N-B

Sagittal Jaw Relation

3.5º80ºS-N-B

Mandibular Position

3.5º82º

S-N-A

Maxillary Position

Sagittal Skeletal Relations

Pretreatment Mean SD

78.7° ±

80.6° ±

-1.9° ±

6.6° ±

° ±

Vertical Jaw Relation

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Maxillary Incisor Inclination

Dento-Basal Relations

6.0º25ºANS-PNS / Go-Gn 30.5° ±

1

Interincisal Angle

2.5-2 m mOverbite (mm)

2.53.50 m mOverjet (mm)

Dental Relations

2.02.3mm1 - A-Pg (mm)

Mandibular Incisor Compensation

7.0º94º1 - Go-Gn

Mandibular Incisor Inclination

6.0º110º116.4

- ANS-PNS

° ±

76.4° ±

2±

±

2±

1 6.0º132º135.1/ 1 ° ±


BEFORE TREATMENT

PERIAPICAL OR PANORAMIC RADIOGRAPHS

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NO NEED FOR OTHER X-RAY

ANY OTHER RADIOGRAPHS BEFORE TREATMENT

If needed

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A. INTRAORAL / PANORAMIC RADIOGRAPH

BEFORE TREATMENT

RADIOGRAPHIC ANALYSIS

B. INTERPRETATION OF CEPHALOMETRIC ASSESSMENT

ade 1.PANORAMIC RADIOGRAPH: periodontic desease gr

1. Sagittal Skeletal Relations

DATE: 09.02.2007 AGE: 18

Vertical Skeletal Relations2.

Skeletal Class I

II

;

: Sagittal ANB -1.9 relationJjaw

Dento- Basal Relations3.

normal, long lowe r anterior face height ;: vertical face height beyond the range of

:

Dental relations:4.

mandibular incisor in a retrusive position;

Maxillary incisor in an acceptable position;

Esthetic Profil5.

Classe III molar canine;and

excessive lingual position of the lower incisor s,


: Hight concavity.

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AND THE REASON FOR IT

TREATMENT PLAN

7) Retaining.

6) Detailing;

2) Teeth alignement;

3) Coodrination surgery before arches both of ;

4) Indirect surgery before bonding labial ;

5) Surgical

mandible) andtreatment (maxilla

1) Banding both arches with lingual appliances;

PLANNING & STEPS


point of view.

(patient expectation) and masticatory function on professionnal

The reason for this treatment is to improve smile

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TOGRAPHSTREATMENT STEPS INTRA-ORAL OCCLUSAL VIEW COLOUR PHO



Center

DATE: 11.04.2007 AGE:18

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888888888888888888888888888888888888888888888888888888888888888888888888888888888888888888 888888888

BONDING CANINES THE DEROTEDED TO BUTTONS LABIAL

02-11-2007

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Center

DATE: 02.11.2007 AGE: 18

02 /11/2007 .01€€6 33,43 ligatures circumferencial and NiTi Thermo .016 x

23/11/2007 .0175 TMA .0175 x

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Lower Occlusal

Upper Occlusa SS .016 xl

.016

DATE: 10.12.2007 AGE: 18

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Center

DATE: 21.03.2008 AGE: 19

TOGRAPHSTREATMENT STEPS INTRA-ORAL VIEW COLOUR PHO

Repositioning ugmentation relationship sagittal the a and anteriors lower the of of

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21/03/2008

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21/04/2008

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21/04/2008

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09/06/2008Indirect SS .025 x .017 and brackets labial of bonding

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Lateral 22/05/2008 surgery before radiography

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09/2008

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PANORAMIC TREATMENT THE OF END THE AT

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END 1/2009 TREATMENT THE OF

s.rys

Tampon

s.rys

Tampon

s.rys

Tampon

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BEFORE TREATMENT

AFTER ALIGNEMENT ORTHODONTICAFTER SURGERY

ANY DIFFICULTIES ENCOUNTERED

INCLUDING

RESUME OF THE TREATMENT CARRIED OUT

splints surgical the stabilise to brackets labial of bonding Indirect 4)

3) Coordination surgery before mandible and maxilla of

2) Leveling arches dental both of

1) Banding both arches with lingual appliances

TREATMENT GOUVERNANCE


6) Retainin

g

Detailin

g

DATE: 17.01.2009 AGE: 20

5)

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Start Tt

80.6° 78.1°°±80SNB

78.7° 78.8°°±82SNA 2

2

End Tt

ANALYSE TWEED MERRYFIELD

CEPHALOMETRIE

DATE: 01-2009 AGE: 20

14.1° 5.9°10OP/F

76.4° 81.3°°±87IMPA

39° 38.9°°±25FMA

-1.9° 0.7°°±ANB 2 2

3

3

°


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ASSESSMENT 2

CEPHALOMETRIC MORPHOLOGICAL

2.5º33ºS-N / Go-Gn

Mandibular Inclination

3.0º8º

S-N / ANS-PNS

Maxillary Inclination

Vertical Skeletal Relations

2.5º2ºA-N-B

Sagittal Jaw Relation

3.5º80ºS-N-B

Mandibular Position

3.5º82º

S-N-A

Maxillary Position

Sagittal Skeletal Relations

Pretreatment Posttreatment Mean SD

78.7° 78.8° ±

80.6° 78.1° ±

-1.9° 0.7° ±

6.6° 14.5° ±

38.6° 42.2° ±



Maxillary Incisor Inclination

Dento-Basal Relations

6.0º25ºANS-PNS / Go-Gn 30.5° 24.8° ±

1

Interincisal Angle

2.5-2mm 2mmOverbite (mm)

2.53.50mm 3mmOverjet (mm)

Dental Relations

2.02.3mm 2.8mm1 - A-Pg (mm)

Mandibular Incisor Compensation

7.0º94º1 - Go-Gn

Mandibular Incisor Inclination

6.0º110º

- ANS-PNS

116.4° 120.7° ±

76.4° 81.3° ±

2±

±

2±

1 6.0º132º131.1135.1/ 1 ° ° ±

CANDIDATE NUMBER: CASE NUMBER: 1 DATE: 01.2009 AGE: 20

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A. INTRAORAL / PANORAMIC RADIOGRAPH

COMPLETION OF TREATMENT

RADIOGRAPHIC ANALYSIS AT

B. INTERPRETATION OF CEPHALOMETRIC ASSESSMENT

1. Sagittal Skeletal Relations 0.7: ANB

- teeth anterior theResorptions of

- Roots on the upper lower and arches are parallel

e

DATE: 01.2009 AGE: 20

2. Vertical Skeletal Relations:

3. Dento- Basal Relations:

normal

vertical face height beyond the range of

4. Dental relations:

Go-Gn

ve to lineline SN/ANS-PNS; mandibular incisor well positionned relati

Maxillary incisor well positionned relative to


normal overjet and overbite

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TREATMENT RESULT

DESCRIPTION OF THE

3) Retaining goal: lifelong

2) Class I cuspid relationship

1) Patient’s profile is nice and harmonious

TREATMENT RESULT ORIENTATION


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OF RETENTION

POST-TREATMENT EVALUATION

DESCRIPTION OF THE

3) Teeth positions are stable

2) Occlusion is stable

1) Retaining goal: lifelong

RETENTION RESULT ORIENTATION


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european society of lingual orthodonticssagittal jaw relation s-n-b 80º 3.5º mandibular position...

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