Example Case Presentation

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Example Case Submitted to the ABO Clinical Examination

Disclaimer

This case presentation is an example of a case that fulfilled the Board's clinical examinationrequirements. There may be alternate methods, treatment plans and mechanics that could be used toachieve similar results.

This example is intended only as a guide, as presentation requirements are subject to change.Examinees should carefully follow the current exam year requirements when preparing case reports.

Original records for this case are of higher diagnostic quality than has been captured for this example

presentation.

Notes to examinees1. Study casts will be submitted in plaster and/or in digital format according to current exam

year requirements. A printout of study cast images is not part of the case presentation.

2. All physical records, including plaster casts, must be clearly marked with an informational labelas described on the ABO website at Record Requirements and Identification.

3. The example case includes images of the cephalogram with tracing overlay. This is not asubmitted record, but serves to illustrate that your examiner will verify tracings against the

cephalogram; therefore,

ALL TRACINGS AND COMPOSITE TRACINGS MUST BE PRINTED ON TRANSPARENT MEDIA

AT THE SAME SCALE AS THE UNTRACED LATERAL CEPHALOGRAMS.

4. The four case reports in this example case were completed offline using the optional CaseReport Work File, then uploaded to the ABO electronic submission webpages. Alternately, youmay log into the ABO website and directly input data for one or more of your case reports.


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ID# 12345 #2

1-31-07 13-08


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ID# 12345 #2

1-31-07 13-08


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ID# 12345

1-31-07


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82

73

9

EACH TRACING MUST BE SUBMITTED ON TRANSPARENT MEDIA

AT THE SAME SCALE AS THE UNTRACED LATERAL CEPHALOGRAM

47 114

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39

.

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104

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13-08

#2

1-31-07

ID# 12345


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ID#

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ID# 12345 #2

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77EACH TRACING MUST BE SUBMITTED ON TRANSPARENT MEDIA

.

68

9

88

49

A HE SAME SCALE AS HE UN RACED LA ERAL CEPHALOGRAM

.

.

2

39

.

10

.

98

#2ID# 12345

15-103-27-09


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COMPOSITE TRACINGS MUST BE SUBMITTED ON TRANSPARENT MEDIA

AT THE SAME SCALE AS THE UNTRACED LATERAL CEPHALOGRAM

#2ID# 12345

13-08

15-10


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82ILLUSTRATION ONLY

EXAMINERS WILL OVERLAY TRACING ON CEPHALOGRAM

9

47

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.

114

39

..

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1

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ILLUSTRATION ONLY

EXAMINERS WILL OVERLAY TRACING ON CEPHALOGRAM

77

68

988

39

98


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The American Board of Orthodontics

Clinical Examination Case Report Work FileVersion 2009-2010

Enter required case identification:ABO ID#

Exam YearCase #Patient

Instructions:1. Adobe Reader, Version 8 or later, is required. Please select FileSave-As from the menu

and save this Case Report Work File for each case that you will be submitting.

2. We recommend you Save-As with a descriptive filename, e.g. ABOCase1.pdf.

3. Enter case report data to this work file at your convenience.

4. In the year prior to your intended clinical exam, register for the exam to activate your loginto the ABOs electronic form website.

5. Using your ABO ID# and password, log into Online Services Clinical Exam ElectronicFormSubmission.

6. Follow prompt to upload this Case Report Work File, or to enter case report data directly.

7. Your data will be verified against the current years exam specifications.**

8. You may return to the electronic form webpages as many times as needed before thesubmission deadline.

9. When finished, you will mark the data for each case as Complete and select SUBMIT TO ABO.

10.You will be able to download a copy of your submitted case reports to Save and/or Print.

** Currently published ABO exam specifications apply to each year's exam, no matter when the examinee began gathering records. If you have uploaded a former years Case Report Work File, you will be alerted ifany data must be provided to meet current year specifications. You are encouraged to login early andverify your case report data.6-3-2009

12345

2010

2

Jane Doe

6-3-2009
http://www.americanboardortho.com/professionalshttp://www.americanboardortho.com/professionalshttp://www.americanboardortho.com/professionalshttp://www.americanboardortho.com/professionalshttp://www.americanboardortho.com/professionalshttp://www.americanboardortho.com/professionalshttp://www.americanboardortho.com/professionals


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EXAM YEAR ABO WRITTEN CASE REPORT Version 2009-2010

ABO ID # CASE#

PATIENTS NAME: DOB (mm-dd-yyyy)

RECORDS SET A A1 B

RECORDS DATE (mm-dd-yyyy)

PT. AGE (yy-mm)

SINGLE PHASE PHASE ONE PHASE TWO

INITIATED TX DATE (mm-dd-yyyy) OR

COMPLETED TX DATE (mm-dd-yyyy)

CASE CRITERIA IDENTIFIER

DI VALUE OR CATEGORY NUMBER

HISTORY AND ETIOLOGY:

DIAGNOSISSkeletal:

Dental:

Facial:

SPECIFIC OBJECTIVES OF TREATMENT

Maxilla (all three planes):

Mandible (all three planes):

Maxillary Dentition

A-P:

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12345 2

Jane Doe 05-04-1993

01-31-2007

13-08

03-27-2009

15-10

04-02-200703-27-3009

Extraction Case

44

2,411 characters remaining

Patient is a 13y 8m Hispanic female who presented to the orthodontic clinic with a chief complaint of faultyspeech. The speech therapist at school referred her to our clinic. School reports show slow learning abilitieslow concentration and speech problems.

Class II skeletal due to a retrognathic mandible and excessive vertical growth. The growth evaluation is CV6.

Tongue thrust, bilateral Class I molar and canine relationship, proclined upper and lower incisors, anterioropenbite, overjet of 5 mm, anterior openbite of 2 mm, and there is mild upper and lower spacing.

Lip incompetence at repose, obtuse nasolabial angle, protrusive upper and lower lips relative to the E-planeeverted lower lip, good upper incisor exposure at rest, and the interlabial gap at rest is 4 mm.

Maxilla is well positioned and there are no skeletal objectives indicated.

Accept retrognathia and perform an advancement genioplasty to improve the chin projection and increaseface height.

Retract the maxillary and mandibular incisors and maintain the maxillary and mandibular molars withmaximum anchorage until appropriate incisor position is obtained esthetically.


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ABO ID # CASE#

Vertical:

Intermolar Width:

Mandibular Dentition

A-P:

Vertical:

Intermolar / Intercanine Width:

Facial Esthetics:

TREATMENT PLAN:

APPLIANCES AND TREATMENT PROGRESS:

RESULTS ACHIEVED

If differing radiographic units preclude superimposition(s) check here

Maxilla (all three planes):

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Extrude upper incisors to correct anterior openbite and provide speech therapy for tongue thrust.Maintain precise vertical molar control allowing no vertical change.

Maintain transverse dimensions.

Maximum anchorage while needed.

Extrude lower incisors to correct anterior open bite. Absolute vertical control of molars.

Maintain transverse dimensions.

Reduce U and L lip proclination and refer for genioplasty to improve chin projection.

1) Extraction of four first premolar teeth with advancement genioplasty. 2) Bands on the molars and bondremaining teeth using 0.022" x 0.028" slot standard edgewise brackets (no prescription). 3) .016" x 0.022"SS wires U and L with first, second and third order bends and start retracting canines with light powerchains and J hook headgear for 12 hours a day, one night on the U3's, one on the L3's. 4) Proceed witharch wires: 0.018" x 0.025" SS until canines are fully retracted and dentition is leveled. 5) Use closingloops on 0.019" x 0.025" SS to retract incisors U and L. Continue with JH on the canines for anchorage. 6)Use Class II elastics if necessary and anterior elastics if needed for overcorrection of the open bite. 7) After

retracting incisors, use coordinated 0.019" x 0.025" SS wires with no loops to finish and detail andcoordinate arch forms. 8) Take progress x-rays and add gable bends and anterior artistic second orderbends as needed for root parallelism. 9) Retention: Upper and lower circumferential Hawley. 10) Refer forextraction of third molars and for advancement genioplasty.

Patient was very cooperative with J hook headgear, elastics, and oral hygiene. Nevertheless, gingivalhypertrophy was an issue after incisor retraction which required the use of soft tissue dental laser from theU5-5 and L3-3. Procedure was uneventful and result was positive. Patient maintained good OH afterprocedure and no relapse of the hypertrophy was observed. Patient was debonded, delivered retainers andreferred to OS for extraction of third molars and for advancement genioplasty. Full records will be takenafterwards.

Maintained since no orthopedics and no surgery were performed.


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ABO ID # CASE#

Mandible (all three planes):

Maxillary Dentition

A-P:

Vertical:

Intermolar Width:

Mandibular Dentition

A-P:

Vertical:

Intermolar / Intercanine Width:

Facial Esthetics:

RETENTION:

FINAL EVALUATION OF TREATMENT:

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No growth was noted, maintained awaiting genioplasty.

Maxillary incisors retracted, some anchorage loss in the posterior, molars advanced 3 mm.

Fair vertical control, slight extrusions at the molars, relative incisor extrusion.

Intermolar width was reduced 2 mm, but intercanine distance was maintained.

The lower incisors retracted with some anchorage loss in the posterior (molars advanced 3 mm).

Relative extrusion of the incisors, none at the molar, and open bite corrected.

Intermolar width was reduced 2 mm, intercanine reduced 1 mm.

Reduced maxillary and mandibular lip proclination, refer for genioplasty to improve chin projection. Slightopening of the nasolabial angle but acceptable.

Upper and lower circumferential Hawley removable retainers were placed. Will place bonded U1-1 if upperdiastema recurs. Patient asked to continue her speech therapy to avoid relapse of the thrust.

Bimaxillary protrusion was corrected. Pt is very happy with result. She is scheduled in Oral Surgery forgenioplasty and extraction of all four third molars. Soft tissue laser results are stable and patient smile isvery pleasing. Given her vertical facial pattern, vertical control was very critical and was achieved byavoiding any molar extrusion.


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EXAM YEAR ABO DISCREPANCY INDEX Version 2009-2010

ABO ID # CASE# PATIENT NAME

TOTAL D.I. SCORE Examiners will verify measurements in eachparameter.

OVERJET

0 0.9 mm. (edge-to-edge) = 1 pt.

1

3 mm. = 0 pts.3.1 5 mm. = 2 pts.

5.1 7 mm. = 3 pts.

7.1 9 mm. = 4 pts.

> 9 mm. = 5 pts.

Negative Overjet (x-bite):

1 pt. per mm. per tooth = pts

Total

OVERBITE

0 3 mm. = 0 pts.

3.1 5 mm. = 2 pts.

5.1 7 mm. = 3 pts.

Impinging (100%) = 5 pts

Total

ANTERIOR OPEN BITE

0 mm. (edge-to-edge), 1 pt. per tooth = pts.

then 1 pt. per additional full mm. per tooth = pts.

Total

LATERAL OPEN BITE

2 pts. per mm. per tooth

Total

CROWDING (only one arch)

0 1 mm. = 0 pts.

1.1 3 mm. = 1 pts.

3.1 5 mm. = 2 pts.

5.1 7 mm. = 4 pts.

> 7 mm. = 7 pts.

Total

OCCLUSION

Class I to end on = 0 pts.

End-to-End Class II or III = 2 pts. per side pts.

Full Class II or III = 4 pts per side pts.

Beyond Class II or III = 1 pt. per mm pts.

additional

Total

LINGUAL POSTERIOR X-BITE

1 pt. per tooth Total

BUCCAL POSTERIOR X-BITE

2 pts. per tooth Total

CEPHALOMETRICS (See Instructions)

ANB >6 or < -2 = 4 pts.

Each degree > 6 __ x 1 pt. = __

Each degree < -2 __ x 1 pt. = __

SN-MP

> 38 = 2 pts.

Each degree > 38 __ x 2 pts. = __

99 = 1 pt.

Each degree > 99 __ x 1 pt. = __

Total

OTHER(See Instructions)

Supernumerary teeth __ x 1 pt.. = __

Ankylosis of perm. Teeth __ x 2 pts. = __

Anomalous morphology __ x 2 pts. = __

Impaction (except 3rd molars) __ x 2 pts. = __

Midline discrepancy (>3 mm) @ 2 pts. = __

Missing teeth (except 3rd molars) __ x 1 pt.. = __

Missing teeth, congenital __ x 2 pts. = __

Spacing (4 or more, per arch) __ x 2 pts. = __

Spacing(mx cent diastema > 2 mm) @ 2 pts. = __

Tooth Transposition __ x 2 pts. = __

Skeletal asymmetry(nonsurgical tx) @ 3 pts. = __

Addl. treatment complexities __ x 2 pts. = __

Identify:

________________________________________________________________________________________

____________________________________________

Total Other

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12345 2 Jane Doe

3

54

4

8

0

3

18

33

0

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EXAM YEAR ABO Cast-Radiograph Evaluation Version 2009-2010ABO ID # CASE# PATIENT NAME

Alignment/Rotations

Marginal Ridges

Buccolingual Inclination

Overjet

Total Score:

INSTRUCTIONS: Second molars should be in occlusion. Mark extracted teeth with a check in the bolded box. Place

score beside each deficient tooth.

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EXAM YEAR ABO Cast-Radiograph Evaluation Version 2009-2010ABO ID # CASE# PATIENT NAME

Occlusal Contacts

Occlusal Relationships

Interproximal Contacts

Root Angulation

R

R Buccal Surface L L Lingual Surface R

L

R L

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1

2

1 1

0

0


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XAM YEAR ABO CASE MANAGEMENT FORM Version 2009-2010BO ID # CASE# PATIENT

SKELETAL ANALYSIS (S) 0-Acceptable 1-Unacceptable

Examiners will evaluate treatment objectives and results,in addition to doing a Records Analysis and Overall Analysis.

MEASUREMENTS SCORING

PRE

TX

A

PROG

A1

POST

TX

B

DIFF.

|A-B|

EXAMINEE TX OBJECTIVESPRE

TX

OBJ

POST

TX

RESULT

Score

CE

PHALOMETRIC

SNAA-P

MX

0

1

0

1

SNBA-P

MN

0

1

0

1

ANB

SN-MP**VERT

MX

0

1

0

1

FMAVERT

MN0

1

0

1

1 TO NA mmA-P

MX

0

1

0

1

1 TO SN

1 TO NB mmA-P

MN

0

1

0

1

1 TO MP

VERT0

1

0

1

ARCH

6 TO 6 WIDTHTRANS

MX

0

1

0

1

6 TO 6 WIDTH

TRANS

MN

0

1

0

1

3 TO 3 WIDTH

TRANS

ANT

0

1

0

1

CURVE OF

SPEE

CURVE

OF SPEE

0

1

0

1

MANDIBULAR

ARCH FORM

ARCH

FORM MN

0

1

0

1

E-LINEF A C I A L

ESTHETICS

0

1

0

1

DENTAL ANALYSIS (D)

FACIAL ANALYSIS (F)

Scoring sub-totals for S-D-F

Shaded areas for examiner only.

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82 77 5.0

73 68 5.0

9 9 0.0

47 49 2.0

39 39 0.0

Maintain/reduce maxillary position 0

Maintain mandibular position 0

Prevent increase in verticaldimension

1

Prevent increase in verticaldimension

0

6 2 4.0

114 88 26.0

11 10 1.0

104 98 6.0

Maintain upper incisors; achieveClass I molar and canine with normaloverjet and overbite

0

Advance lower incisors; achieve ClassI molar and canine with normaloverjet and overbite

0

Prevent dental extrusion0

32.5 30.5 2.0

30.0 28 2.0

25.5 24.5 1.0

1 0 1.0

OV OV SAME

Increase maxillary transversedimension - resolve crossbite 0

Maintain

0Maintain

0

Level0

Maintain 0

Upper

Lower

1 0 1.0

3 0 3.0

Maintain facial esthetics0

1

Example Case Presentation

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