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PATIENTS NAME : KINZA KHURSHID PRESENTED BY : HADIA DURRANI FATIMA- TU -ZAHRA SYEDA UME RUBAB

Case presentationCase historyClinical Examination extra-oral intra-oralPhotographs extra-oral intra-oralCast analysisRadiographs orthopantomogram (OPG) lateral cephalogramProblem listDiagnosisTreatment planning

CONTENTSHISTORYBIODATA :-Patients name : Kinza KhurshidPatients age : 16Fathers name : Khurshid AnwarAddress : QalandrabadChief complaint : face asymmetricSocial status : GoodMotivation : patient motivated by parents

HISTORY TAKINGEXAMINATIONFace type : Dolichofacial Facial symmetry : Asymmetric , deviated towards rightFacial form : leptroprosopic

EXTRA-ORAL EXAMINATION

Facial profile : Straight/orthognathic

Lips thickness : average seal : incompetentNose : mediumChin : deviated towards rightUpper dental :1mm shifted to rightto facial midlineIncisor stomion : 1mmPath of closure : deviated

Oral hygiene : FairGingival health : GingivitisPeriodontal status (gingival display): no gingival displayLabial frenum : NormalPalate : DeepTongue : NormalDentition : PermanentSupernumerary teeth : Upper left 3

INTRA-ORAL EXAMINATIONPHOTOGRAPHSExtra oral photographs

Frontal profile with lips closed

Frontal profile with lips relaxed

Frontal profile smiling

Three quarter profile smiling

Lateral profileIntra oral photographs

Frontal intra oral view

Right buccal view

Left buccal view

Upper occlusal view

Lower occlusal viewCAST ANALYSISArch form : V-shapedArch symmetry : AsymmetricDentition : Permanent Palate : DeepTeeth present : 7654321 12334567 Space available : 71Space required : 78.5TSALD : -7.5mm Inter-arch findings:Left central incisor mesio-palatally rotatedLeft lateral incisor palatally displacedSupernumerary tooth bucally displacedLeft canine bucally displaced

MAXILLARY ARCH

Arch form : V-shapedArch symmetry : AsymmetricDentition : permanentTeeth present : 7654321 1234567 Space available : 63 Space required : 68TSALD : -5mm Inter-arch findings:central incisors overlappedlateral incisors lingually displacedCanines buccally displaced

MANDIBULAR ARCH

INCISOR RELATIONSHIPClass ICAST IN OCCLUSION

MOLAR RELATIONSHIPRight side : Class I Left side : Class I

Right side : Class II Left side : Class IICUSPID RELATIONSHIP

OVERJET: 2mm

OVERBITE : 33% (2mm)

DENTAL MIDLINE RELATIONSHIP lower dental midline 6mm deviated to rightOVERALL BOLTON :-Normal = 91.5Overall Bolton =sum of mandibular 12 x 100 sum of maxillary 12 = 90 x 100 98 =91 which is normalmandibular tooth material is relative to maxillary tooth material

BOLTON ANALYSISNormal value : 77.2Anterior Bolton = sum of mandibular 6 x 100 sum of maxillary 6 = 38 x 100 49 = 77.5 which is normal i-emandibular and maxillary anterior teeth material isrelative to each other.ANTERIOR BOLTON :-RADIOGRAPHSOPG findingsSupernumerary teeth : upper left 3Peridontium : bone resorption in upper and lower anterior regionUn-erupted upper third molars ORTHOPANTOMOGRAPH

We have considered upper left bucally placed second tooth as supernumerary on the basis of :Clinical examinationForm of the toothGingival healthPosition of the tooth in the archRadiographsPeriodontal statusRoot position

Identification of supernumerary toothCEPHALOGRAM Land marks lines and planes

There are four components of Composite analysis :-Sagittal analysisVertical analysisDental analysis Soft tissue analysis COMPOSITE ANALYSIS< SNA = 80