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Cas clinique
Clinical study
2009. CEO. dit par / Published by Elsevier Masson SAS. Tous droits rservs/All rights reserved
Cas n : 09025
Rsum
Pre-treatment documents
June 2, 2005 (Age of the patient: 17 y 2 m). Diagnosis: Skeletal Class III normodivergent, bilateral molar and canine Class III, inverted incisor occlusion with open bite tendency.
Traitement :
extractions de 38 et 48 ; attaches de Straight-wire en version technique de Roth .022 .028 ; alignement, nivellement, tip-back des molaires terminales et lastiques intermaxillaires de Classe III ; en fin de traitement, extractions de 18 et 28.
Treatment :
extraction of 38 and 48; straight wire bands and brackets with Roth version technique with a slot of .022 .028; alignment, leveling, posterior tip-back and intermaxillary Class III elastics; at the end of treatment, extraction of 18 and 28.
Post-treatment documents September 17, 2007 (Age of the patient: 19 y 5 m). 17 septembre 2007 (ge du patient : 19 ans et 5 mois). Contention : gouttire maxillaire en port nocturne et fil lingual Retention: Maxillary wrap-round to be worn at night and bonded lingual wire from 33 to 43. coll de 33 43.
Observations cliniques
En fin de traitement, lobtention dune occlusion stable tait ralise avec des molaires et des canines en relation de Classe I. Les deus lignes mdianes maxillaire et mandibulaire taient alignes dans laxe du visage et des surplombs vertical et sagittal taient ajusts. La panoramique confirmait le bon positionnement radiculaire.
Clinical observations
At the end of the treatment, a stable dental articulation was achieved with a Class I molar and canine relationship. Both of the midlines were aligned with the facial midline, and a good overjet and overbite relationship were obtained. The final panoramic radiograph confirmed the good radicular positioning.
Correspondance et tirs part/Correspondence and reprints: Terasa PINHO, Clinica Medico-Dentria de So Joo da Madeira, rua Arantes de Oliveira, 997, 1, 3700-316 S.-J. da Madeira. terpinho@netcabo.pt
DCD, SQODF, Clinica Medico-Dentria de So Joo da Madeira, rua Arantes de Oliveira, 997, 1, 3700-316 S.-J. da Madeira.
Terasa PINHO
Diagnostic
Diagnosis
Diagnostic facial
Sens vertical : typologie faciale : normodivergeant ; relation nez-lvres-menton : harmonieuse. Sens horizontal : position de ltage moyen par rapport la base du crne : rtrusive ; position de ltage infrieur par rapport ltage moyen : protrusive.
Facial diagnosis
Vertical dimension: facial type: normodivergent; nose-lips-chin relationship: harmonious. Horizontal dimension: position of mid third relative to the cranial base: retrusive; position of lower third relative to the mid third: protrusive.
Diagnostic squelettique
Sens vertical : normodivergeant. Sens horizontal : Classe III.
Skeletal diagnosis
Vertical dimension: normodivergent; Horizontal dimension: Class III.
Diagnostic dentaire
Sens vertical : bance. Sens horizontal : Classe III. Sens transversal : normal.
Dental diagnosis
Vertical dimension: open-bite. Horizontal dimension: Class III. Transverse dimension: normal.
Diagnostic tiologique
Classe III hrditaire marque.
Etiological diagnosis
Class III due to pronounced heredity.
Coopration
Normale.
Terasa PINHO
Terasa PINHO
Thrapeutique
Treatment
Stratgie/objectifs de traitement
Correction de la relation de Classe III, obtention dune occlusion stable, alignement des lignes mdianes avec laxe de symtrie du visage, ralisation de surplombs vertical et sagittal corrects.
Strategy/treatment aims
Correction of Class III relationship, a stable dental articulation, both of the midlines aligned with the facial midline, good overjet and overbite.
Type dappareillage
Attaches fixes aux deux arcades, de type Straight-wire en technique de Roth .022 .028.
Type of appliance
Bimaxillary fixed appliance, Straightwire attachments using the Roth technique with a slot of .022 .028.
Plan de traitement
Extractions des 38 et 48. Alignement, nivellement, tip-back des molaires terminales et lastiques intermaxillaires de Classe III.
Treatment plan
Extraction of 38 and 48. Alignment, leveling, posterior tip-back and intermaxillary Class III elastics.
Dure de traitement
24 mois
Duration of treatment
24 months.
Contention
Gouttire maxillaire porte la nuit et fil lingual coll de 33 43.
Retention
Maxillary wrap-round to be worn at night and bonded lingual wire from 33 to 43.
Terasa PINHO
h g
Terasa PINHO
10
h g
11
Terasa PINHO
12
13