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AlFarabi College 
Clinical Orthodontic 
Level 11 
Course Director : 
Dr . Anas Alomari
1 Osama Ahmad Al- Masri 
2 Mustafa Haddad 
3 Mohammad Tunje 
4 Faisal Onizi 
5 Abdullah Aloufi 
6 Hazem Khateeb
• Patient’s Personal Data .. 
• Age : 30 
• Gender : Male 
• Nationality : Saudi 
• Status : Single 
• Patient Attitude : ...
Chief Complaint 
” أريد أن أرتب مظهر أسناني العام ” 
I want to improve my teeth apperance !
Past Medical H 
Free from Systemic diseases 
Respiratory system : 0 GIT : 0 
Urinary tract : 0 
Nervous system : 0 
Endocr...
Medical History Report 
Asthma : No 
Abnormal Blood pressure : No 
D.M : No 
Allergies : No 
Pneumonia : No 
Hepatitis : N...
NAD 
Nothing abnormalities detected 
# Hypertension : His mother 
# D.M : His Father 
# Bad habits : 0 
Medical history 
F...
Dental history 
Last dental visit ? 
One month ago 
Made Composite Filling 
Without any complications
oral hygiene Activities 
# Good Oral Hygiene 
# Patient brush his teeth Daily . 
# Technique of brushing: Horizontal Scrub...
Impression = Silicone
The 
Cast
Intra Oral 
Examination 
# Gingiva , Tongue, 
floor of the mouth 
,Palate and 
Mucosa are 
all with in the 
normal limit (...
..
..
..
Clinical Ex.
Facial Type : Dolichocephalic 
Symmetry : symmetric 
Lower Facial Height : increased 
Midline shift 
Normal mentalis muscl...
Profile : 
Slight to moderate Convexity 
Nasolabial Angle : obtuse
Tongue at Rest: Normal 
Swallowing Pattern: Normal 
Muscles of Mastication: WNL 
TMJ: Normal articulation 
Normal range of...
Study Cast Analysis 
( # ) Maxilla Mandible 
Space Required 74.5 69.5 
Space Available 75 68 
Space Discrepancy 0.5 -1.5 
...
Bolton’s Analysis 
Overall Ratio Anterior Ratio 
Excess Mandible Excess Mandible 
3.1 mm 1 mm
Molar and Canine Relations 
Molar relation : Class I , Canine relation : Class I
Panorama 
- Permanent dentition : 28 teeth present 
- Missing : 4 teeth #18 , #28 , #46 , #48 
- Newly Extracted Sockets :...
Lateral Cephal
Tracing of Cephal
Measurement Mean PT. 
± 
ANB 3 1 6 
± 
SNA 81 2 86 
SNB 78 3 80 
± 
± 
MMp 27 4 32 
± 
U1 / P.P 109 5 119 
± 
L1 / M.P 93 ...
Measurement Mean PT. 
A’N’B’ 7 2 15 
± 
N-Labial Angle 102 8 112 
± 
Ls- Eline -1 2 -3 
± 
Li – Eline -2 2 -1 
±
Summary : 
Skeletal pattern : Class II 
Max. to cranial base : Protruded 
Mand. to cranial base : Normal 
Max incisor rela...
Soft tissue Analysis : 
Profile : Convex 
Nasolabial Angle : Obtuse 
Upper Lip : Normal 
Lower Lip : Normal
Problem List 
Alignment and Symmetry 
Max : Spacing ( 0.5 mm ) 
Mand Crowding (1.5 mm ) 
Transverse relation 
Skeletal : 
...
Problem List 
# Mand shift to right about 2 mm due to 
cross bite and Mild Crowding 
# Minimal Over jet 1-2 mm - Mild 
ske...
Treatment Objectives : 
• Chief Complaint 
To Restore: 
Function. 
Structure. 
Esthetics. 
Treatment plan
Treatment plan 
Objectives of Treatment 
- Resolve patient’s chief complaint of 
crowding and Malocclusion 
- Decrease ove...
Treatment plan 
Phase I 
1- Cross elastics. 
2- Expansion of upper arch by : 
A- Quad helix (fixed) 
B- Hawley appliance (...
Phase II 
Full Fixed appliance to finalize the 
occlusion ,
الحمدلله 
It’s Done
Design of presentation : Osama Ahmad
Course Director :
Clinical orthodontic presentation - orthodontic presentation  - Case presentation of ortho - ortho presentation - clinical...
Clinical orthodontic presentation - orthodontic presentation  - Case presentation of ortho - ortho presentation - clinical...
Clinical orthodontic presentation - orthodontic presentation  - Case presentation of ortho - ortho presentation - clinical...
Clinical orthodontic presentation - orthodontic presentation  - Case presentation of ortho - ortho presentation - clinical...
Clinical orthodontic presentation - orthodontic presentation  - Case presentation of ortho - ortho presentation - clinical...
Clinical orthodontic presentation - orthodontic presentation  - Case presentation of ortho - ortho presentation - clinical...
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Clinical orthodontic presentation - orthodontic presentation - Case presentation of ortho - ortho presentation - clinical case presentation

  1. 1. AlFarabi College Clinical Orthodontic Level 11 Course Director : Dr . Anas Alomari
  2. 2. 1 Osama Ahmad Al- Masri 2 Mustafa Haddad 3 Mohammad Tunje 4 Faisal Onizi 5 Abdullah Aloufi 6 Hazem Khateeb
  3. 3. • Patient’s Personal Data .. • Age : 30 • Gender : Male • Nationality : Saudi • Status : Single • Patient Attitude : Cooperative
  4. 4. Chief Complaint ” أريد أن أرتب مظهر أسناني العام ” I want to improve my teeth apperance !
  5. 5. Past Medical H Free from Systemic diseases Respiratory system : 0 GIT : 0 Urinary tract : 0 Nervous system : 0 Endocrine system : 0 Cardiopulmonary : 0 Blood disease :0 Hospitalization : 0 Medications : 0
  6. 6. Medical History Report Asthma : No Abnormal Blood pressure : No D.M : No Allergies : No Pneumonia : No Hepatitis : No T.B : No Thyroid problems : No
  7. 7. NAD Nothing abnormalities detected # Hypertension : His mother # D.M : His Father # Bad habits : 0 Medical history Family history
  8. 8. Dental history Last dental visit ? One month ago Made Composite Filling Without any complications
  9. 9. oral hygiene Activities # Good Oral Hygiene # Patient brush his teeth Daily . # Technique of brushing: Horizontal Scrub. # Uses a “ soft ” brush. # Doesn’t change his toothbrush very often. # Doesn’t floss. # Doesn’t visit the dentist nor the hygienist periodically
  10. 10. Impression = Silicone
  11. 11. The Cast
  12. 12. Intra Oral Examination # Gingiva , Tongue, floor of the mouth ,Palate and Mucosa are all with in the normal limit (WNL).
  13. 13. ..
  14. 14. ..
  15. 15. ..
  16. 16. Clinical Ex.
  17. 17. Facial Type : Dolichocephalic Symmetry : symmetric Lower Facial Height : increased Midline shift Normal mentalis muscle
  18. 18. Profile : Slight to moderate Convexity Nasolabial Angle : obtuse
  19. 19. Tongue at Rest: Normal Swallowing Pattern: Normal Muscles of Mastication: WNL TMJ: Normal articulation Normal range of motion Normal muscles of mastication Pre-Treatment
  20. 20. Study Cast Analysis ( # ) Maxilla Mandible Space Required 74.5 69.5 Space Available 75 68 Space Discrepancy 0.5 -1.5 Inter Canine Width 33 27
  21. 21. Bolton’s Analysis Overall Ratio Anterior Ratio Excess Mandible Excess Mandible 3.1 mm 1 mm
  22. 22. Molar and Canine Relations Molar relation : Class I , Canine relation : Class I
  23. 23. Panorama - Permanent dentition : 28 teeth present - Missing : 4 teeth #18 , #28 , #46 , #48 - Newly Extracted Sockets : # 46 , #48 - There are decayed teeth #36 , # 25 - There is no bone pathology
  24. 24. Lateral Cephal
  25. 25. Tracing of Cephal
  26. 26. Measurement Mean PT. ± ANB 3 1 6 ± SNA 81 2 86 SNB 78 3 80 ± ± MMp 27 4 32 ± U1 / P.P 109 5 119 ± L1 / M.P 93 5 104 ± U1/ L1 133 9 110
  27. 27. Measurement Mean PT. A’N’B’ 7 2 15 ± N-Labial Angle 102 8 112 ± Ls- Eline -1 2 -3 ± Li – Eline -2 2 -1 ±
  28. 28. Summary : Skeletal pattern : Class II Max. to cranial base : Protruded Mand. to cranial base : Normal Max incisor related to Max. : Protruded Max incisor to Mand. Incisor : Decreased
  29. 29. Soft tissue Analysis : Profile : Convex Nasolabial Angle : Obtuse Upper Lip : Normal Lower Lip : Normal
  30. 30. Problem List Alignment and Symmetry Max : Spacing ( 0.5 mm ) Mand Crowding (1.5 mm ) Transverse relation Skeletal : Cross bite “ Unilateral Buccal Posterior Cross bite with displacement “
  31. 31. Problem List # Mand shift to right about 2 mm due to cross bite and Mild Crowding # Minimal Over jet 1-2 mm - Mild skeletal Class II due to Max protrusion # Dental class I molar and canine
  32. 32. Treatment Objectives : • Chief Complaint To Restore: Function. Structure. Esthetics. Treatment plan
  33. 33. Treatment plan Objectives of Treatment - Resolve patient’s chief complaint of crowding and Malocclusion - Decrease overbite - Maintain midline
  34. 34. Treatment plan Phase I 1- Cross elastics. 2- Expansion of upper arch by : A- Quad helix (fixed) B- Hawley appliance ( removable)
  35. 35. Phase II Full Fixed appliance to finalize the occlusion ,
  36. 36. الحمدلله It’s Done
  37. 37. Design of presentation : Osama Ahmad
  38. 38. Course Director :

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