CASE PRESENTATION

Patient name-

Manpreet kaur.

PERSONAL DETAILS

Name Manpreet kaur Age 13yrs./F

Address mubarikpur Diet Mixed

CHIEF COMPLAINT

Forwardly placed upper front teeth

HISTORY

1. 2. 3.

Medical history: removable appliance one year back Dental history: nothing significant. .Childhood history: nothing significant

3. General history
Reason for orthodontic treatment : Esthetics

History of dental/orthodontic treatment : 1st dental visit

Patients concern for orthodontic treatment : Good

Attitude of the patient : Positive

CLINICAL EXAMINATION RECORD

1.Extra oral examination :

a) Shape of the head : Meoscephalic(average)

b)
c)

Facial form : Mesoprosopic(average)

Facial symmetry : No gross asymmetry detected Facial profile : Convex

d)

e) Nose : Average f) Nasolabial angle : Acute

g) Lips :

i. Interlabial gap : 5mm ii. Amount of incisor exposure during speech 5-6mm iii. During smiling 9-10 mm iv. Relation :potentially incompetent V. Tonicity of lips: Hypotonic upper lip

h)
i) j) k) l) m) n)

Mento labial sulcus : deep

Chin : Average Mentalis activity : Hyperactive. Maxilla : Average Mandible : retrognathic FMA : Average Gonial angle : Average

INTRA ORAL EXAMINATION

Soft tissue examination

1. 2. 3. 4. Gingiva : Normal Brushing habits : Satisfactory Width of attached gingiva: Adequate Frenal attachments :

upper Gingival
lower Mucosal

5.
6. 7. 8.

Tongue : NAD
Oral mucosa : N A D Palatal contour : NAD Tonsils and Adenoids : NAD

HARD TISSUE

1.
2. 3. 4. 5. 6.

Teeth present : All teeth present except 3rd molars.

Unerupted teeth: None Supernumerary : None Shape, size and form of teeth : NAD Endodontically treated : None Occlusal wear facets : None

MAXILLARY ARCH 1. Shape : U shaped

2.
3.

Arch symmetry : Symmetrical

Arch alignment : Spacing in anterior region , rotation of 11, 14,21,24

MANDIBULAR ARCH 1. 2. 3. Shape : ovoid shaped Arch symmetry : Symmetrical Arch alignment: rotation of 31,33,34,35,43,44.

4. Curve of spee : right side 4.5 mm left side 4.5 mm

Arches in occlusion
1. 2. 3. Molar relation : Class I(rt),end on (lt) Canine relation : Class I(rt),end on (lt) Insior relation : Class II div 1

4.
5.

Overjet: 7mm
Overbite : 4 mm

Midline: Upper & Lower : shifted towards left

Skeletal & dental: coinciding

FUNCTIONAL EXAMINATION

1.
2. 3. 4. 5. 6. 7.

Maximum protrusion: 13 mm from edge-to-edge

Maximum mouth opening : 48 mm Free way space Path of closure : Normal Breathing pattern : Oral Swallowing pattern : Normal Speech : No Abnormalities Detected

8.

TMJ : NAD

PROVISIONAL DIAGNOSIS

manpreet, 13yrs old female patient reported to the department with chief complaint forwardly placed upper front teeth was found to have average maxilla and retrognathic mandible with convex profile with vertical growth, a class I molar relation on on right side and end on relation on left side with upper anterior spacing and rotation of 11,14,21,24,31,33,34,35,43,44and poor soft tissue balance.