Biographical information

Patient name: saleh

Age: 22 yrs

C.C : check my teeth

Dental Hx: simple restorations.

Medical Hx: fit and well.

Extra-oral ExaminationFrontal view

-Face is asymmetrical

-Lips are competent

Lower face height is -

normal(the distance form the eyebrow to

base of the nose are equal to the distance from

base of the nose to lower most of the chin).

Extra-oral examinationsmile assessment

- Acceptable smile aesthetic.

- Smile show the upper teeth to canine

-The smile show upper incisor with only interproximal gingiva visible.

Extra-oral examinationprofile assessment

-Skeletal pattern is class II(convex).

intra-oral examinationfrontal view

- Good oral hygiene & periodontal condition . No horizontal cross bite

intra-oral examinationright & left view left:

-class I molar relationship-class I canine relationship- Upright maxillary central incisor

Right:-class I canine relationship

intra-oral examinationupper occlusal view

-No missing teeth .

- Slight rotation of the lateral incisor.

- No spacing.

Entra-oral examinationlower occlusal view

-Amalgam restoration on # 36

-composit restoration and tooth preparation for crown on #46

-No spacing or crowding .

-No missing teeth.

Model analysisfrontal view

-no cross bite.

-Upper and lower mid line coincident .

-2mm overbite .

Model analysisleft & right occlusion

-left:

-class I molar relationship

-class I canine relationship

- Upright maxillary central incisor

Right:

-class I canine relationship

-2mm over jet

Model analysislower & upper occlusal view

-U shape arch form-No spacing or crowding -rotation of the lateral incisor-Available space – required

0space

-U shape arch form.- No spacing or crowding Available space – required

0space

Bolton ratio:

Overall Bolton ratio= 88 / 96 = 91.66 % ( 0.4 mm mandibular excess )

Anterior Bolton ratio= 37 / 48 = 79.08% ( no excess

Radiographic examinationpanoramic view

Radiographic examinationlateral cephalometric radiograph

InterpretationPatientNormalMeasurement

Skeletal relationship

Normal8081 +- 3SNA

Normal7578+_ 3SNB

Normal53+_2ANB

Vertical relationship

Clockwise rotation(posterior

inclination of max.)

148+_3SN-MxPI

Normal2427+_4MMPA

Normal53%55+_2Facial proportion

Denatl relationship

Proclination of upper incisor

119109+_6Ulnc to MxPL

Proclination of lower incisor

10293+_6Llnc to MNPl

Protrosion of lower incisor

6mm+1+_ 2mmLlnc to A-pog

Proclination of upper & lower

insisor

1114135+_10U1-L1

Soft tissue relashinship

normal97100+_10Naso-labial angle

normal-4-2 to -4Upper lip - EL

normal-10 to-2Lower lip - EL

Overall diagnostic summary

Diagnostic summary

Problems list

-Skeletal:- Normal skeletal relationship

-Dental:-proclination of upper and lower incisor .

-slight rotation of the upper lateral incisor .

-Soft tissue:

No soft tissue problem.

TREATMENT PLAN OHI.

Operative Tx.

Prstho Tx.

Ortho Tx.

Thank you