Orthotown April 2013 - (Page 56)
case presentation // feature
by Bradford Edgren, DDS, MS
Fig. 1a
Fig. 1b
Fig. 1c
A 12-year-old male presents in my office for an orthodontic
evaluation. He has Class I malocclusion with completely blocked
out maxillary canines and moderate to severe crowding in the
lower arch. At first take, a four-bicuspid extraction treatment
plan would appear to be appropriate. However, in my practice,
I always take complete diagnostic records, including lateral,
frontal, panoramic and hand-wrist radiographs on all my patients
before committing to a particular treatment plan. These radiographs for each patient are always sent to Rocky Mountain
Orthodontics Data Services for cephalometric tracing and analysis. The information I receive includes a Ricketts analysis of the
lateral and frontal head films, a Ricketts forecast for dento-facial
growth and visual norms for both the lateral and frontal analyses.
Fig. 1a-1e: Intra-oral, diagnostic photos demonstrating the blocked-out maxillary
canines. Note the narrow upper arch form.
Fig. 2: Diagnostic panoramic radiograph. Note the impacted maxillary canines.
56
APRIL 2013 // orthotown.com
Fig. 1d
Fig. 1e
Fig. 2
Each patient’s analysis I receive is specific for age, sex, gender and
race. These four variables make it possible to individualize each
patient’s diagnosis and consequential treatment plan.
For this patient, the information from the cephalometric
analysis revealed a significant skeletal lingual crossbite pattern
due to both jaws. Skeletal lingual crossbite patterns do not
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Table of Contents for the Digital Edition of Orthotown April 2013
Orthotown.com Highlights
Wired for Success: Big Brother is Listening
Industry News
Some Suggestions Would Be Great
Poll: Bracket Systems
Fun Class III Two-Jaw Case
You Should Know: Motion View Software, LLC
A Protocol for Creating Images from CBVI for the Practicing Orthodontist, Part II
AAO Annual Session Product Showcase 2013
Office Visit: A Community Pillar
New Products
AAO Feature AAO Membership – What’s in it for me?
Smile Assist
You Should Know: Gaidge Practice Metrics
The Combined Value of the Frontal Analysis and Growth Prediction
Getting Social Media to Grow Your Practice: A Primer for Successful Orthodontic Social Media Engagement
Get Patients to Rave About Your Practice
Ad Index
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