Post on 16-Jul-2015
WELCOME
Presented by:Dr. Md. Ishtiaq Hasan
BDS, FCPS-II Trainee,Dept. of Orthodontics, DDCH
Supervisor:
Prof. Dr. Md. Zakir HossainBDS, PhD(Japan)
Prof. & Head,
Dept. of Orthodontics,
DDCH.
ORTHODONTIC MANAGEMENT
OF A YOUNG GIRL WITH
CROWDING: A CASE REPORT
We will try our best.
EXTRA-ORAL EXAMINATION
Pt. name: Pinki
Age: 16 yrs
Came from Noakhali
Started orthodontic treatment one year back by an underground student with removable appliance
But the patient was unhappy with the treatment.
So, we decided to start her treatment with fixed appliance.
Clinical Examination
Shape of the head : MesocephalicProfile Analysis : Convex Shape of the face : OvalFacial symmetry : SymmetricalLips : CompetentUpper lip line : NormalLower lip line : NormalNaso-labial angle : NormalLabio-mental depression : Shallow
Intra-oral photographs
intra-oral photographs
The patient was in the permanent dentition
overjet 5 mm and overbite 4 mm.
Both upper and lower anterior segment of jaws were crowded.
Molar & canine relationships were Class I on both sides.
Her oral hygiene was good.
Model analysis
Remarks: Crowding in both the arches due to tooth jaw discrepancy.
Upper arch Lower arch
Arch perimeter - Total tooth
material = 89mm – 100mm
= -11 mm
Arch perimeter -Total tooth material
= 78- 90mm
= -12 mm
Radiographic examination
Patient was using removable appliances
All 1st premolars were extracted
Canines were tipped
No pathological lesion is noted
Fig: Initial leveling and alignment by 0.014 ss round wire with multi-loop.
TREATMENT PROGRESS
Fig: Correction of minor irregularities by 0.016 ss round wire with multi-loop.
NEED COUPLE FORCE FOR ROTATIONAL MOVEMENT
Fig: Arch contraction by .016*.022 ssrectangular wire with tear drop loop.
Fig: Arch contraction – right side.
Fig: Arch contraction – left side.
Fig: Inter-digitation by up-down elastics.
POST TREATMENT INTRA-ORAL PHOTOGRAPH
BEFORE AFTER
Overjet and overbite= Canine relationship=
Molar relationship=
POST TREATMENT EXTRA-ORAL PHOTOGRAPHS