Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Done by:
Hanady Al Masri
Abdallah Al Zireeni
Mohammad Elwir
Yahya Al Omari
Frontal view
Facial proportions :
Normal facial symmetry
Vertical proportion:
increased LFH
Competent lips
Profile view
profile : is convex
Nasolabial angle:
average 90-100
both upper and lower
Frankfort mandibular
plane angle is avarege
Smile view
smile line : high smile
line
upper coincident
midline with 2mm
right shifted midline in
the lower jaw.
Maxillary arch
Mandibular arch
Frontal view
Study Models
Space available:
71mm
Space required:
75mm
There is deficiency of 4
mm
Ant. bolton : 76.2%
average (77.2 % 1.3%)
OPG x-ray
Cephalometric analysis
variable
value
normal
SNA
79
823
SNB
77
793
ANB
31
SN to maxillary plane
10
83
109
1085
Lower incisor to
mandibular plane
89
925
Wit's
-1
-1 - 1
131
13310
Maxillary mandibular
planes angle
30
275
130mm
7mm
54%
50-55%
-3
0-2
-1
Within 1
mm
S-N-Pog
84
863
Diagnosis :
1.
2.
3.
4.
5.
6.
7.
8.
Treatment plan
Our aim of treatment is :
1- Oral hygiene and patient motivation .
2- Restore the present carious liaisons .
3- Maintain class I incisor relationship
4- Alignment of upper and lower teeth by reliving crowding
5- derotate the upper and lower right lateral incisors .
6- Correcting lower shifted midline .
7- Achieve class molars and canines relation .
8- reducing over jet .
Retention
Upper arch: Fixed retainer
Lower arch: Fixed retainer
circumferential fiberotomy for the upper
and lower right lateral incisors .
Thank you