Pacific Coast Society of Orthodontists Bulletin Fall 2013 - (Page 20)
Case Report
Pre-TreaTmenT
profile relaxed
relaxed
smiling
How would you treat
this malocclusion?
Case J.M. 18 years, 3 months
introduction
A
n 18-year-old male presents with the chief
complaint, “I don’t like this tooth” (points to
his upper right canine), “and I don’t like my
bite because my teeth won’t come together.” Patient
cooperation is expected to be high due to his calm
and outgoing temperament. Medical history is noncontributory. He receives regular dental care, and has
a minor restorative history.
diAGnoSiS And EtioLoGY
E xtraoral F indings
The patient is dolichofacial, with an increased lower
facial third, and a minor chin point deviation to the
right. He has an apparent nasal obstruction and
mouth breathing habit, which has contributed to
his growth pattern and open bite. Upon smiling, he
shows 80% maxillary incisor display, and a flat smile
line, which is canted up to the right. In profile, he is
convex and his maxillary incisor is slightly behind
20
soft tissue glabella, which indicates a bimaxillary
retrusive growth pattern that is further supported by
low SNA and SNB angles. He also maintains an upward
facing head posture, which is consistent with a nasal
breathing problem. There are no signs or symptoms of
temporomandibular joint dysfunction.
i ntraoral F indings
A 4mm open bite is present, with only molar occlusion,
and severe wear facets on all first and second molars.
The patient has an Angle class III tendency molar
relationship, with some overjet present. The maxillary
arch is V-shaped, with 8mm of anterior crowding and a
blocked-out right cuspid; the midline is deviated 2mm
right, and it is 7mm narrower than the mandibular
arch at the molars. The mandibular arch is round in
shape, and has 3mm of crowding. Both upper and
lower curves of Spee are mild. All third molars are
present and erupting. Hygiene is fair, with mild plaque
accumulation, but no periodontal pockets greater
than 3mm.
PCSO Bulletin
•
FALL 2013
Table of Contents for the Digital Edition of Pacific Coast Society of Orthodontists Bulletin Fall 2013
An Editor's Journey
A Sense of Belonging
To Meet Member Needs, You Have to Know Members
Stronger, More Efficient, More Focused
Service Behavior
Class II, Division 2 Malocclusions, Part II
Dr. Terry McDonald Interviews Dr. Douglas Klein
Mark Douglas, DDS
Vincent G. Kokich, Sr., DDS, MSD
Elastic Wear Tips
AAOF
PCSO Business
Component
PCSO at a Glance
Case Report Pre-Treatment
Case Report Post-Treatment
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