Atlas of Orthodontic Case Reviews

 
 
Wiley-Blackwell (Verlag)
  • erschienen am 29. Juni 2017
  • |
  • 280 Seiten
 
E-Book | ePUB mit Adobe-DRM | Systemvoraussetzungen
978-1-119-30377-0 (ISBN)
 
Atlas of Orthodontic Case Reviews offers a comprehensive resource to the treatment of orthodontic malocclusions with a case-based approach.
* Discusses and illustrates the treatment of orthodontic malocclusions using actual clinical cases
* Presents more than 800 clinical photographs showing the stages of each treatment, to act as a visual reference
* Includes a description of each malocclusion, an explanation of the desired treatment outcomes, an account of the changes, and review questions for each case
1. Auflage
  • Englisch
  • Newark
  • |
  • USA
John Wiley & Sons
  • 73,07 MB
978-1-119-30377-0 (9781119303770)
weitere Ausgaben werden ermittelt
The Authors
MARJAN ASKARI, DMD, MS, is Assistant Clinical Professor at Tufts University School of Dental Medicine in Boston, Massachusetts, USA and practices at The Smile Institute in Brookline, Massachusetts, USA.
STANLEY A. ALEXANDER, DMD, is Distinguished Teaching Professor Emeritus at Stony Brook University School of Dental Medicine in Stony Brook, New York, USA and practices at The Smile Institute in Brookline, Massachusetts, USA.
  • Intro
  • Title Page
  • Copyright Page
  • Contents
  • Preface
  • Acknowledgments
  • Chapter 1 Interceptive (Mixed Dentition): Case 1
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 1.4)
  • Right Buccal View
  • Left Buccal View
  • Maxillary Arch (Figure 1.7)
  • Mandibular Arch (Figure 1.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment with Quad-Helix in Place
  • Second to Fourth Active Appointments
  • Six Months after Initial Placement of the Appliance
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 2 Interceptive (Mixed Dentition): Case 2
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 2.4)
  • Right Buccal View
  • Left Buccal View (Figure 2.6)
  • Maxillary Arch (Figure 2.7)
  • Mandibular Arch (Figure 2.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment
  • Second Active Appointment
  • Third Active Appointment
  • Fourth Active Appointment
  • Fifth Active Appointment
  • Phase I Completed
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 3 Phase I Treatment: Class III Skeletal and Class I Dental with Posterior and Anterior Crossbites
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 3.4)
  • Right Buccal View (Figure 3.5)
  • Left Buccal View (Figure 3.6)
  • Maxillary Arch (Figure 3.7)
  • Mandibular Arch (Figure 3.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment
  • Second Active Appointment
  • Third Active Appointment
  • Fourth Active Appointment
  • Fifth Active Appointment
  • Sixth Active Appointment
  • Seventh and Eighth Active Appointments
  • Ninth and 10th Active Appointments
  • Eleventh Active Appointment
  • Twelfth Active Appointment
  • Thirteenth Appointment
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 4 Class I Skeletal and Class I Dental with Blocked-Out Maxillary Canine: Non-Extraction
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 4.4)
  • Right Buccal View
  • Left Buccal View
  • Maxillary Arch (Figure 4.7)
  • Mandibular Arch (Figure 4.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment
  • Second Active Appointment
  • Third to Fifth Active Appointments
  • Sixth Appointment
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 5 Class I Skeletal and Class I Dental with a Deep Bite
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 5.4)
  • Right Buccal View
  • Left Buccal View
  • Maxillary Arch (Figure 5.7)
  • Mandibular Arch (Figure 5.8)
  • Function
  • Treatment Objectives
  • Treatment Options
  • First and Second Active Appointments
  • Third Active Appointment
  • Fourth Active appointment
  • Fifth Active Appointment
  • Sixth Active Appointment
  • Seventh Active Appointment
  • Eighth and Ninth Active Appointments
  • Tenth Active Appointment
  • Eleventh and 12th Active Appointments
  • Thirteenth Active Appointment
  • Fourteenth Active Appointment
  • Fifteenth Appointment
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 6 Class I Skeletal and Class I Dental with Asymmetry: Non-Extraction
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 6.4)
  • Right Buccal View (Figure 6.5)
  • Left Buccal View (Figure 6.6)
  • Maxillary Arch (Figure 6.7)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment
  • Second Active Appointment
  • Third Active Appointment
  • Fourth Active Appointment
  • Fifth Active Appointment
  • Sixth and Seventh Active Appointments
  • Eighth Active Appointment
  • Ninth Appointment
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 7 Class II Skeletal and Class II Dental: Extraction of Maxillary First Premolars
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 7.4)
  • Right Buccal View (Figure 7.5)
  • Left Buccal View (Figure 7.6)
  • Maxillary Arch (Figure 7.7)
  • Mandibular Arch (Figure 7.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment
  • Second Active Appointment
  • Third Active Appointment
  • Fourth Active Appointment
  • Fifth Active Appointment
  • Sixth and Seventh Active Appointments
  • Eighth Active Appointment
  • Ninth and 10th Active Appointments
  • Eleventh and 12th Active Appointments
  • Thirteenth Appointment (Debond and Retainer Delivery)
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 8 Class II Skeletal and Class II Dental: Non-Compliant
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 8.4)
  • Right Buccal View (Figure 8.5)
  • Left Buccal View (Figure 8.6)
  • Maxillary Arch (Figure 8.7)
  • Mandibular Arch (Figure 8.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment
  • Second and Third Active Appointments
  • Fourth and Fifth Active Appointments
  • Sixth Active Appointment
  • Seventh and Eighth Active Appointments
  • Ninth to 12th Active Appointments
  • Thirteenth Appointment
  • Fourteenth Active Appointment
  • Fifteenth Appointment
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 9 Skeletal Class II and Dental Class II Division 1 Subdivision: Four Premolar Extractions
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 9.4)
  • Right Buccal View (Figure 9.5)
  • Left Buccal View (Figure 9.6)
  • Maxillary Arch (Figure 9.7)
  • Mandibular Arch (Figure 9.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment
  • Second Active Appointment
  • Third Active Appointment
  • Fourth and Fifth Active Appointments
  • Sixth Active Appointment
  • Seventh Active Appointment
  • Eighth Active Appointment
  • Ninth Active Appointment
  • Tenth Active Appointment
  • Eleventh Active Appointment
  • Twelfth Active Appointment
  • Thirteenth Active Appointment
  • Fourteenth Active Appointment
  • Fifteenth to 17th Active Appointments
  • Eighteenth Appointment
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 10 Class III Skeletal Tendency and Class I Dental: Four Premolar Extractions
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 10.4)
  • Right Buccal View (Figure 10.5)
  • Left Buccal View (Figure 10.6)
  • Maxillary Arch (Figure 10.7)
  • Mandibular Arch (Figure 10.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • Passive Appointments
  • First Active Appointment
  • Second Active Appointment
  • Third Active Appointment
  • Fourth Active Appointment
  • Fifth Active Appointment
  • Sixth to Eighth Active Appointments
  • Ninth Active Appointment
  • Tenth to 11th Active Appointments
  • Twelfth to 13th Active Appointments
  • Fourteenth Active Appointment
  • Fifteenth Active Appointment
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 11 Class III Skeletal and Class III Dental: Non-Extraction and Non-Surgical
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 11.4)
  • Right Buccal View (Figure 11.5)
  • Left Buccal View (Figure 11.6)
  • Maxillary Arch (Figure 11.7)
  • Mandibular Arch (Figure 11.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment with Full Appliances Placed
  • Second Active Appointment
  • Third Active Appointment
  • Fourth Active Appointment
  • Fifth Active Appointment
  • Sixth Active Appointment
  • Seventh Active Appointment
  • Eighth and Ninth Active Appointments
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 12 Class III Skeletal and Class III Dental: Non-Extraction
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 12.4)
  • Right Buccal View (Figure 12.5)
  • Left Buccal View (Figure 12.6)
  • Maxillary Arch (Figure 12.7)
  • Mandibular Arch (Figure 12.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment
  • Second Active Appointment
  • Third Active Appointment
  • Fourth Active Appointment
  • Fifth Active Appointment
  • Sixth Active Appointment
  • Seventh to Eighth Active Appointments
  • Ninth Active Appointment
  • Tenth Active Appointment
  • Tenth Appointment
  • Commentary
  • Review Questions
  • Suggested Reference
  • Chapter 13 Class III Skeletal Pattern and Class II Dental: Non-Extraction
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 13.4)
  • Right Buccal View (Figure 13.5)
  • Left Buccal View (Figure 13.6)
  • Maxillary Arch (Figure 13.7)
  • Mandibular Arch (Figure 13.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment
  • Second Active Appointment
  • Third to Fourth Active Appointment
  • Fifth Active Appointment
  • Sixth Active Appointment
  • Seventh Active Appointment
  • Eighth Active Appointment
  • Ninth Appointment
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 14 Class III Skeletal and Class I Dental: Four Premolar Extractions
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 14.4)
  • Right Buccal View (Figure 14.5)
  • Left Buccal View (Figure 14.6)
  • Maxillary Arch (Figure 14.7)
  • Mandibular Arch (Figure 14.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment
  • Second Active Appointment
  • Third Active Appointment
  • Fourth Active Appointment
  • Fifth Active Appointment
  • Sixth Active Appointment
  • Seventh Active Appointment
  • Eighth Active Appointment
  • Ninth Active Appointment
  • Tenth Active Appointment
  • Eleventh to 12th Active Appointments
  • Thirteenth Active Appointment
  • Fourteenth Active Appointment
  • Fifteenth Appointment
  • Commentary
  • Review Questions
  • Suggested References
  • Chapter 15 Class III Surgical
  • Interview Data
  • Clinical Examination
  • Dentition (Figure 15.4)
  • Right Buccal View (Figure 15.5)
  • Left Buccal View (Figure 15.6)
  • Maxillary Arch (Figure 15.7)
  • Mandibular Arch (Figure 15.8)
  • Function
  • Diagnosis and Treatment Plan
  • Treatment Objectives
  • Treatment Options
  • First Active Appointment
  • Second and Third Active Appointments
  • Fourth Active Appointment
  • Fifth and Sixth Active Appointments
  • Seventh Active Appointment
  • Eighth Active Appointment
  • First Post-Surgical Appointment
  • Second Post-Surgical Appointment
  • Third Post-Surgical Appointment
  • Commentary
  • Review Questions
  • Suggested References
  • Index
  • EULA

1
Interceptive (Mixed Dentition): Case 1


LEARNING OBJECTIVES


  • The records required for treatment of a mixed dentition
  • The problem list for interceptive orthodontics: posterior crossbite
  • The development of treatment objectives and formation of a treatment plan for a quad-helix appliance

Interview Data


This 8-year-old Caucasian male presented with maxillary constriction that manifested as a unilateral posterior crossbite of the mixed dentition.

  • Development: pre-pubescent
  • Motivation: good
  • Medical history: non-contributory
  • Dental history: seen regularly for dental visits
  • Family history: no history of malocclusion
  • Habits: none
  • Limitations: none
  • Facial form: mesoprosopic and ovoid
  • Facial proportions: normal lower facial height

Clinical Examination


  • Incisor-stomion (Figures 1.1 and 1.2):
    • - At rest: 0?mm
    • - Smiling: 6?mm
  • Smile line: 0?mm gingival display
  • Breathing: nasal
  • Lips: together at rest
  • Soft tissue profile: convex (Figure 1.3)
  • Nasolabial angle: slightly obtuse
  • Slightly high mandibular plane angle

Figure 1.1 Full face at rest displaying a symmetric, ovoid face.

Figure 1.2 Full face with smile showing full enamel appearance of the incisors and no gingival display.

Figure 1.3 Right lateral view of profile indicating a convex appearance and obtuse nasolabial angle.

Dentition (Figure 1.4)


Figure 1.4 Anterior view of the dentition demonstrating midline diastema and mandibular shift to the left.

  • Teeth present clinically: 6edc21 12cde6 6edc21 12cde6
  • Overjet: 4?mm
  • Overbite: 0?mm with open bite tendency
  • Diastema: 3?mm
  • Midlines: maxillary midline coincident with face; mandibular midline 2?mm to left

Right Buccal View

The right buccal view can be seen in Figure 1.5.

  • Molar, right: end-on, mixed dentition
  • Canine: Class I
  • Curve of Spee: flat
  • Crossbite: none
  • Caries: none

Figure 1.5 Right buccal view of dentition indicating an end-on mixed dentition molar relationship.

Left Buccal View

The left buccal view can be seen in Figure 1.6.

  • Molar, left: Class II, mixed dentition
  • Canine: cusp to cusp
  • Curve of Spee: flat
  • Crossbite: posterior crossbite
  • Caries: none

Figure 1.6 Left buccal view of dentition indicating a Class II mixed dentition molar relationship and posterior crossbite due to the functional shift of the mandible.

Maxillary Arch (Figure 1.7)

Figure 1.7 Occlusal view of the maxilla displaying a catenary arch form and rotated first permanent molars with separating elastic in place.

  • Symmetric, catenary curve form with no crowding: elastic separator (arrow) still in place in the left quadrant from previous orthodontic consult
  • No caries

Mandibular Arch (Figure 1.8)

Figure 1.8 Occlusal view of the mandible displaying an ovoid arch form with a lingual holding arch in place.

  • Ovoid arch form with lingual holding arch in place
  • Slight rotation of erupting incisors
  • No caries

Function


  • Maximum opening?=?40?mm
  • Centric relation-centric occlusion (CR-CO): coincident
  • Maximum excursive movements: right?=?6?mm; left?=?7?mm; protrusive?=?5?mm
  • Temporomandibular joint palpation: normal
  • Right and left masseter: negative to palpation
  • Habits: none
  • Speech: normal
  • Late mixed dentition with all 32 permanent teeth present or developing
  • Root length and periodontium appear normal
  • Condyles appear normal (Figure 1.9)

Figure 1.9 Panoramic radiograph indicating an early mixed dentition with a lingual holding arch present.

Diagnosis and Treatment Plan


As the patient is in the mixed dentition and displays a Class I skeletal and dental pattern (Figure 1.10; Tables 1.1 and 1.2), correction of the posterior crossbite is considered interceptive.

Figure 1.10 Digitized cephalogram of a Class I skeletal relationship and a high mandibular plane angle indicative of a vertical growing patient.

Table 1.1 Significant cephalometric values

Norm Patient pre-treatment SNA 80° 83.2° SNB 78° 76.7° ANB 2° +6.5° WITS appraisal -1 to +1?mm +0.5?mm FMA 21° 32.6° SN-GoGn 32° 38.9° Maxillary incisor to SN 105° 108.5° Mandibular incisor to GoGn 95° 93.2° Soft tissue    Lower lip to E-plane -2?mm 9.3?mm    Upper lip to E-plane -1.6?mm 2.3?mm

SNA, sella-nasion-A point; SNB: sella-nasion-B point; ANB: A point-nasion-B point; WITS appraisal, Witwatersrand appraisal; FMA, Frankfort horizontal-mandibular plane (angle); SN-GoGn: sella nasion-gonion gnathion.

Table 1.2 The patient's problem list in three dimensions

Transverse Sagittal Vertical Soft tissue Normal Convex profile; full lower lip; obtuse nasolabial angle Hyperdivergent Dental Bilateral posterior crossbite presenting as a unilateral crossbite due to the functional shift Normal mixed dentition regarding molar and canine relationships 0?mm overbite Skeletal Maxillary constriction Class I Hyperdivergent

Maxilla - the maxillary first molars will be banded and a quad-helix appliance will be fabricated to rotate the molars and expand the palate. A lingual holding arch is presently on the mandibular arch to conserve leeway space and to maintain a non-extraction approach to further care in the future.

Once the posterior crossbite is over-corrected, the patient will be placed on a recall schedule and examined every 6 months for changes in the occlusion and eruption of the remaining permanent dentition.

An argument may be made for an additional radiograph to be taken to aid in the diagnosis and treatment plan in patients with posterior crossbites who will require palatal expansion. The radiograph of choice is a posterior-anterior cephalogram, or PA radiograph as it is more commonly termed. In young, growing children where the clinical examination demonstrates no gross asymmetries and only functional shifts due to the crossbite, it is unnecessary to further expose the child to additional radiation that would have negligible clinical benefit.

Treatment Objectives


The patient's clinical problem in the mixed dentition will be addressed by correction of the posterior crossbite. Once corrected and maintained, the child will be evaluated annually for further orthodontic treatment if required. As the patient appears to be growing in a Class I direction both skeletally and dentally, it is anticipated that any further treatment would require only dental alignment.

Treatment Options


The options presented to the parent and patient were two-fold:

  1. No treatment.
  2. Interceptive treatment to correct the posterior crossbite through palatal expansion followed by comprehensive orthodontic care if it became necessary.

Both the patient and parent wanted option 2. Based upon the patient's skeletal and dental development, crossbite correction and palatal expansion would be undertaken with a quad-helix appliance, although other fixed appliances such as a rapid palatal expander could have been utilized as well. The...

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