Pacific Coast Society of Orthodontists Bulletin Summer 2014 - (Page 22)
TADs
Case Report
pre-treatment
PROFILE
FRONTAL
SMILING
How Would You Treat this Malocclusion?
Case O.Y. 26 years, 9 months
I ntroductIon
A
26-year-old adult Hispanic female patient
presents to your office with a skeletal and
dental Class II malocclusion. She is missing her mandibular first molar on the left side and the
mandibular second molar on the right side. Her chief
concerns are to straighten her front upper teeth and to
close the spaces in the back.
d IagnosIs
and
E tIology
The patient reports that her lower left first molar and
lower right second molar were extracted due to caries.
22
Her medical history is non-contributory. Extraoral
examination shows no gross facial asymmetry. She
has a convex soft tissue profile, competent lips at rest,
and a slightly increased nasolabial angle in addition
to a reduced incisal show when smiling, as her lower
lip covers the incisal third of the maxillary anterior
teeth. Intraorally, the patient has bilateral edentulous
spaces: 11 mm on the left side and 8 to 9 mm on the
right side. Her maxillary midline is coincident with
her facial midline, and the mandibular midline is 2
mm to the left in relation to the facial midline. Her
overbite is 4 mm and her overjet is 6 mm. She has
an arch length-tooth size discrepancy of 5 mm in the
PCSO BULLETIN * SUMMER
2014
Table of Contents for the Digital Edition of Pacific Coast Society of Orthodontists Bulletin Summer 2014