正畸病例分析英文版
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anterior 22、23、32、33 open bite distema in 11 and 21 crowded in maxillary
Lateral view ：angle Ⅲ ， anterior
teeth is reverse overjet
and reverse overbite maxillary anterior teeth ：labial inclination mandibular anterior teeth ：lingual inclination
（1）Inquiry： systemic disease、 bad hadit、 already treatment、 Duration、 family history、psychological guidance
（2）inspection ： ①inside check：tooth count 、tooth shape、
Coordination of dental arches and coorrection
of posterior crossbite
orthognathic surgery
Sagittal splint ramus osteotomy
Post-surgical orthodontic treatment
122mm > 119.7mm 52mm < 70mm > 53.8mm 65.8mm
43% < 45% 57% > 55%
Conclusion
1、maxillary retrusion ，mandibular protrusion 2、maxillary central incisor is labial inclination mandibular central incisor is lingual inclination 3、The height of the face is more than normal， maxillary growth is Inadequate, partial length is in the 1/3 lower faces
Labial frenum 、 linguae frenum ： normal
Pantomography：
impacted teeth：18、28、38、48 normal
The measurement items
SNA
SNB ANB Wits NP-FH Y axis NA-PA MP-FH
Permanent teeth period
Mand1-NB
16.7 º < 30.3 º
Max-Mand1
129.3 º > 125.4 º
The measurement items
N-Me N-ANS ANS-Me N-ANS/ N-Me ANS-Me/ N-Me
Permanent teeth period
measured value
normal value
maxillary central incisor is labial inclination mandibular central incisor is lingual inclination maxillary central incisor is labial inclination and bulging maxillary central incisor is labial inclination and bulging is large Mandibular central incisor is lingual inclination and bulging is large Up and down the front of the dental arch degree is relatively small
Straight wire appliance
relieving dental crowding Compensatory move the upper and lower front teeth,
to conceal the jaw deformity.
Thank you.
option2
CAMOUFLAGE
Tooth extraction
including 2 maxillary second premolar and third
Leabharlann Baidu
molar 2 mandibular first premolars extraction and third molar
could prevent upper incisors from uprighting and
Other check: model analysis TMJ check muscular tension check
①Extra oral photographs：
Frontal view：
horizontal：Facial is asymmetry, and it moves to right side vertical：partial length is in the 1/3 lower faces lip : the degree of closure、underlip is thicker than upper
therapeutic regimen
option1
ORTHODONTIC-ORTHOGNATHIC SURGERY
Indication
Class III ,mesioclusion (ANB<-4˚,upper incisor is
obviously labial tilted，lower incisor lingual tilted， anterior of deep reverse overjet)
40 º > 31.1 º
The measurement items
Max1-SN Mand1-MP Max1-NA Max1-NA
Permanent teeth period
significance
measured value normal value
128 º > 105.7 º 66 º < 92.6 º 40.1 º > 22.8 º 9mm > 5.1mm
Lateral view ：
facial morphology ：concave type lip : the degree of closure、H line ，E line mentolabial sulcus：shallow 、 Mandibular advancement
②Intra oral photographs： Frontal view ： overbite in
Hyperosteogenied Mandibular mandibular protrusion All above？
High Angle underbite
Heredity circumstance ： Congenital（Macroglossia disease） Acquired （1）hyperpituitarism （2）maxillary deciduous teeth early-missed、 retention、Inadequate canine abrasion
significance
measured value normal value
88º > 82.8 º
94 º > 80.1 º -6 º < 2.7 º -17mm < -1.5mm 88 º > 85.4 º 67 º > 66.3 º -7 º < 6.0 º
maxillary protrusion
Pre-surgical orthodontic treatment
According to movements and decompensation of teeth , it’s benificial to move bones.
Alignment
Leveling Incisal position and space closure
Oral hygiene 、dental arch shape、occlusal status 、 Soft tissue lesions ②outside check：photograph、Symmetric face？ proportion ?overlength lowed 1/3？
auxiliary examination： X-ray： Panoramic radiograph examination lateral cephlometrics CT
正畸B组第1小组
Summary
Key information
long face 16-year-old girl from northeast family history taciturnity Come with her mom
Weekend-opend
main trouble
change the incisor position
maxillar protraction
Implant as skeletal anchorage for maxilla protraction
is an effective and stable clinical treatment for Class III malocclusion，which avoids the dental compensation.
Mandibular protrusion Negative，mandibular protrusion mandibular protrusion， classⅢ,mesioclusion mandibular protrusion mandibular protrusion; Growth before the bottom maxillary retrusion Steepness of mandibular body, large mandibular Angle, high facial height
Occlusal view：
dental archs are oval， crowding in the maxillary. maxillary central incisor ：torsion
soft and hard tissues
oral hygiene ：poor Periodontium：healthy gingiva Alveolar bone ：the labial bone of mandible is thin
Alignment Space closing Leveling Adjustment of anteropoetreior position incisors Coordination of dental arches
Retention
Maintainer Chincap
significance
The height of the face is more than normal maxillary growth is Inadequate partial length is in the 1/3 lower faces maxillary growth is Inadequate partial length is in the 1/3 lower faces
（3）early maxillary permanent teeth
eruption （4）functional factor ：suckle、 hypertrophy of tonsil、muscle dysfunction （5）bad hadit
Other information needed
Lateral view ：angle Ⅲ ， anterior
teeth is reverse overjet
and reverse overbite maxillary anterior teeth ：labial inclination mandibular anterior teeth ：lingual inclination
（1）Inquiry： systemic disease、 bad hadit、 already treatment、 Duration、 family history、psychological guidance
（2）inspection ： ①inside check：tooth count 、tooth shape、
Coordination of dental arches and coorrection
of posterior crossbite
orthognathic surgery
Sagittal splint ramus osteotomy
Post-surgical orthodontic treatment
122mm > 119.7mm 52mm < 70mm > 53.8mm 65.8mm
43% < 45% 57% > 55%
Conclusion
1、maxillary retrusion ，mandibular protrusion 2、maxillary central incisor is labial inclination mandibular central incisor is lingual inclination 3、The height of the face is more than normal， maxillary growth is Inadequate, partial length is in the 1/3 lower faces
Labial frenum 、 linguae frenum ： normal
Pantomography：
impacted teeth：18、28、38、48 normal
The measurement items
SNA
SNB ANB Wits NP-FH Y axis NA-PA MP-FH
Permanent teeth period
Mand1-NB
16.7 º < 30.3 º
Max-Mand1
129.3 º > 125.4 º
The measurement items
N-Me N-ANS ANS-Me N-ANS/ N-Me ANS-Me/ N-Me
Permanent teeth period
measured value
normal value
maxillary central incisor is labial inclination mandibular central incisor is lingual inclination maxillary central incisor is labial inclination and bulging maxillary central incisor is labial inclination and bulging is large Mandibular central incisor is lingual inclination and bulging is large Up and down the front of the dental arch degree is relatively small
Straight wire appliance
relieving dental crowding Compensatory move the upper and lower front teeth,
to conceal the jaw deformity.
Thank you.
option2
CAMOUFLAGE
Tooth extraction
including 2 maxillary second premolar and third
Leabharlann Baidu
molar 2 mandibular first premolars extraction and third molar
could prevent upper incisors from uprighting and
Other check: model analysis TMJ check muscular tension check
①Extra oral photographs：
Frontal view：
horizontal：Facial is asymmetry, and it moves to right side vertical：partial length is in the 1/3 lower faces lip : the degree of closure、underlip is thicker than upper
therapeutic regimen
option1
ORTHODONTIC-ORTHOGNATHIC SURGERY
Indication
Class III ,mesioclusion (ANB<-4˚,upper incisor is
obviously labial tilted，lower incisor lingual tilted， anterior of deep reverse overjet)
40 º > 31.1 º
The measurement items
Max1-SN Mand1-MP Max1-NA Max1-NA
Permanent teeth period
significance
measured value normal value
128 º > 105.7 º 66 º < 92.6 º 40.1 º > 22.8 º 9mm > 5.1mm
Lateral view ：
facial morphology ：concave type lip : the degree of closure、H line ，E line mentolabial sulcus：shallow 、 Mandibular advancement
②Intra oral photographs： Frontal view ： overbite in
Hyperosteogenied Mandibular mandibular protrusion All above？
High Angle underbite
Heredity circumstance ： Congenital（Macroglossia disease） Acquired （1）hyperpituitarism （2）maxillary deciduous teeth early-missed、 retention、Inadequate canine abrasion
significance
measured value normal value
88º > 82.8 º
94 º > 80.1 º -6 º < 2.7 º -17mm < -1.5mm 88 º > 85.4 º 67 º > 66.3 º -7 º < 6.0 º
maxillary protrusion
Pre-surgical orthodontic treatment
According to movements and decompensation of teeth , it’s benificial to move bones.
Alignment
Leveling Incisal position and space closure
Oral hygiene 、dental arch shape、occlusal status 、 Soft tissue lesions ②outside check：photograph、Symmetric face？ proportion ?overlength lowed 1/3？
auxiliary examination： X-ray： Panoramic radiograph examination lateral cephlometrics CT
正畸B组第1小组
Summary
Key information
long face 16-year-old girl from northeast family history taciturnity Come with her mom
Weekend-opend
main trouble
change the incisor position
maxillar protraction
Implant as skeletal anchorage for maxilla protraction
is an effective and stable clinical treatment for Class III malocclusion，which avoids the dental compensation.
Mandibular protrusion Negative，mandibular protrusion mandibular protrusion， classⅢ,mesioclusion mandibular protrusion mandibular protrusion; Growth before the bottom maxillary retrusion Steepness of mandibular body, large mandibular Angle, high facial height
Occlusal view：
dental archs are oval， crowding in the maxillary. maxillary central incisor ：torsion
soft and hard tissues
oral hygiene ：poor Periodontium：healthy gingiva Alveolar bone ：the labial bone of mandible is thin
Alignment Space closing Leveling Adjustment of anteropoetreior position incisors Coordination of dental arches
Retention
Maintainer Chincap
significance
The height of the face is more than normal maxillary growth is Inadequate partial length is in the 1/3 lower faces maxillary growth is Inadequate partial length is in the 1/3 lower faces
（3）early maxillary permanent teeth
eruption （4）functional factor ：suckle、 hypertrophy of tonsil、muscle dysfunction （5）bad hadit
Other information needed