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CASE PRESENTATION

Patient name- Manpreet kaur.

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Name Manpreet kaur

Age 13yrs./F

Address mubarikpur

Diet Mixed

PERSONAL DETAILS

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Forwardly placed upper front teeth

CHIEF COMPLAINT

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1. Medical history: removable appliance one year back

2. Dental history: nothing significant.

3. .Childhood history: nothing significant

HISTORY

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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

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1.Extra oral examination :

a) Shape of the head : Meoscephalic(average)

b) Facial form : Mesoprosopic(average)

c) Facial symmetry : No gross asymmetrydetected

d) Facial profile : Convex

e) Nose : Average

f) Nasolabial angle : Acute

CLINICAL EXAMINATION

RECORD

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g) Lips :

i. Interlabial gap : 5mm

ii. Amount of incisor exposure during speech5-6mm

iii. During smiling 9-10 mm

iv. Relation :potentially incompetent

V. Tonicity of lips: Hypotonic upper lip

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h) Mento labial sulcus : deep

i) Chin : Average

j) Mentalis activity : Hyperactive.

k) Maxilla : Average

l) Mandible : retrognathic

m) FMA : Average

n) Gonial angle : Average

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Soft tissue examination

1. Gingiva : Normal

2. Brushing habits : Satisfactory

3. Width of attached gingiva: Adequate

4. Frenal attachments :

upper Gingival

lowerMucosal

INTRA ORAL EXAMINATION

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5. Tongue : NAD

6. Oral mucosa : N A D

7. Palatal contour : NAD

8. Tonsils and Adenoids : NAD

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1. Teeth present : All teeth present except 3rd molars.

2. Unerupted teeth: None

3. Supernumerary : None

4. Shape, size and form of teeth : NAD

5. Endodontically treated : None

6. Occlusal wear facets : None

HARD TISSUE

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1. Shape : U shaped

2. Arch symmetry : Symmetrical

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

MAXILLARY ARCH

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1. Shape : ovoid shaped

2. Arch symmetry : Symmetrical

3. Arch alignment: rotation of

31,33,34,35,43,44.

4. Curve of spee :

right side4.5 mm

left side

4.5 mm

MANDIBULAR ARCH

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Arches in occlusion1. Molar relation : Class I(rt),end on (lt)

2. Canine relation : Class I(rt),end on (lt)

3. Insior relation : Class II div 1

4. Overjet: 7mm

5. Overbite : 4 mm

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Midline:

Upper & Lower : shifted towards left

Skeletal & dental: coinciding

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1. Maximum protrusion: 13 mm from edge-to-edge

2. Maximum mouth opening : 48 mm

3. Free way space

4. Path of closure : Normal

5. Breathing pattern : Oral

6. Swallowing pattern : Normal

7. Speech : No Abnormalities Detected8. TMJ : NAD

FUNCTIONAL EXAMINATION

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manpreet, 13yrs old female patient reported to the department withchief complaint forwardly placed upper front teeth was found to

have average maxilla and retrognathic mandible with convex profilewith vertical growth, a class I molar relation on on right side and

end on relation on left side with upper anterior spacing androtation of 11,14,21,24,31,33,34,35,43,44and poor soft tissue

balance.

PROVISIONAL DIAGNOSIS