Ayesha Khan

File# 18 C
 Patient Information
• Name: Ayesha khan
• Gender: Female
• Age: 13 yrs
• Chief complaint:
want to straight
their teeth
 Patient History
• Family History: None
• Medical History:
 Lip repaired when she was 8 months old (Unilateral cleft lip &
alveolus)
 Asthmatic Patient since last 9 months
• Medications: SOS
• Allergy: Cotton Allergy
• Previous Dental History: Past history of orthodontic treatment for
2 years (In that duration no such extraction, no appliance had
given)
• Habits: None
• Motivation: Externally motivated
• Expectation: Realistic
 Extra-Oral Examination
• Head and Neck: Normal
• TMJ:
-No Pain, no sound, no tenderness
-Max incisal opening of 35 mm
-Max lateral excursion of 4 mm
 Frontal Examination
 Face type: Mesoprosopic
 Transverse Asymmetry:
N/A
 Vertical Asymmetry: N/A
 Lips Seal: Competent
 Profile Analysis
• Profile: Convex
• Divergence: Mesodivergent
• Nose Projection:
i. Radix: Normal
ii. Dorsum: Straight
iii. Acute nasolabial angle
• Lip Projection is normal
• chin projection is normal
• Mand: Plane Angle is obtuse
• Labiomental Sulcus: Deep
 Vertical Characteristics of Smile
• Smile Arc: Consonant
• Incisor Display: Resting
0%, Smiling 60%
• No gingival display on
smiling.
 Transverse Characteristics of Smile
• Buccal Corridor Width: 18%
• Arch Form: ovoid
• Midline: Lower midline off
on left side 2mm in relation
to upper.
• Transverse Cantt: No
 Oblique Characteristics of Smile
• Anterioposterior Cantt: No
• Incisor Proclination: Normal
PANORAMIC
LATERAL CEPH
 SAGITTAL NORM PRE TX
ANALYSIS
SNA 82° ± 2° 84°
SNB 80° ± 2° 80°
ANB 2°± 2° 4°
Witts 1mm♂ +1mm
0mm♀
VERTICAL NORM PRE TX
ANALYSIS
SN-Mandibular plane 32°± 4° 40°
SN-Palatal plane 6°±4° 7°
MMA 25°± 4° 35°
Ratio of LAFH/TAFH 54% ± 2% 58 %
 MCNAMARA
• Point A lies 2mm ahead of Nasion
Perpendicular
• Point B lies 2mm behind of Nasion
Perpendicular
• Pog lies 3mm behind Nasion Perpendicular
 Dental analysis NORM PRE TX

UI - palatal 108° ± 5° 105°

IMPA 90° ±5° 103°

interincisal 135° ± 5° 138°

Soft tissue analysis NORM PRE TX

E-Line: Upper Lip -3 ± 2 +1mm
Lower Lip -2 ± 2 +3mm
NL Angle 102° ± 8° 75°
 ALD: Max: +3mm
Mand: -2mm
Bolton is not
significant

Rt Molar III Lt Molar III

Canine III Canine II

Overjet: 2mm
Overbite: 3mm
PROBLEM LIST:
• High angle case
• Left upper 2 is missing & left upper c is
retained
• Lower incisor crowding
• Rt side molar III canine III, left side molar
III canine II
• Lower midline off 2mm on left side in
relation to upper