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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
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