CASE 1 Class I Extraction in permanent dentition

CASE 1 Class I Extraction in permanent dentition

Medical and Dental History • N-S • Onset of menarchy : 6 mo ago

Initial Facial Photographs

Initial Intra-oral Photographs

Initial Panoramic Radiograph

Initial PA Cephalogram Mx width Mn width Difference ANS-Me 68 mm 90 mm 22 mm 0º

Initial Lateral Cephalogram

Problem List 1. 2. 3. 4. Lip fullness Proclined Upper and Lower incisors Shallow Over bite Crowding ↑ 9. 5 mm ↓ 3. 5 mm

Treatment Plan 1. 2. 3. 4. 5. 6. 7. Banding & bonding 4’s extraction Alignment & leveling w/o U 3’s partial retraction Space closure Finish & debonding Retention ↑Hawley, ↓L-bonded

Treatment Progress

Final Intra-oral Photographs

Final Facial Photographs

Facial Changes

Dental Changes

Panoramic Changes

Lateral Cephalometric Changes

Changes in Lateral Ceph Measurements Pre-treatment Post-treatment SNA SNB ANB Wits U 1 to NA L 1 to NB Go. Gn. Sn FMA IMPA UL LL 81º 78. 5 º 2. 5 º -4 mm 7 mm/35 º 8. 5 mm/33 º 38. 5 º 31 º 96 º 0 mm 3. 5 mm 81º 79. 5 º 1. 5 º -5 mm 6 mm/25. 5 º 6 mm/28 º 39 º 31 º 90 º -1 mm 3 mm

Overall Face Superimposition A-B

Maxillary Superimposition A-B

Mandibular Superimposition A-B

Superimposition A-B

2 years in retention

Overall Face Superimposition B-R

CASE 2 Class II Division 1 Malocclusion

CASE 3 Deep Overbite Malocclusion

CASE 4 Class III Malocclusion

CASE 5 Optional Case