Name

Date of birth

Age / Sex

Ortho No.

:20130

Occupation

:Student ()

Address

Phone No.

Treating doctor: Dr. Sreeram Nayak

C/O
Medical History :

Dental History:

Family history : Non-contributory

Pre-treatment

Apparently symmetrical
oprosopic face
Convex profile
Competent lips

Pre-treatment
Angles Class molar relation on right side
Angles Class molar relation on left side
Class canine relation bilaterally
Overbite : 0 %
Overjet : 0 mm

Midlines

Facio-maxillary : Centered
Facio-mandibular : Shifted to left by 2 mm
Maxillo-mandibular : Discordance by

Pre-treatment

Maxillary arch
Apparently symmetrical
U-shaped
Mandibular arch
Apparently symmetrical
U-shaped

Maxillary Intercanine width

mm

Maxillary Intermolar width

mm

Mandibular Intercanine width

mm

Mandibular Intermolar width

mm

Pre-treatment

Pre-treatment

Pre-treatment

71

50

52
73

130

120
50

50

50

50

Pre-treatment 31.8.2013

65

65

50

51
28

20

94

100
37
51

43
41

Pre-treatment

Pre-treatment

Skeletal Class odivergent

SN length (65mm)

mm

SNA

SNB

ANB
(3.121.8)

Wits
(-0.01mm)

mm

APP-BPP
(4.5mm)

mm

MM bisector
(-4.5mm)

mm

SN length
65mm

mm

Maxillary length:
44mm

mm

Mandibular length:
69mm

mm

N to A point
-4mm

mm

N to B point
-10mm

mm

N to Pog
-10mm

mm

FMA

( 23.832)

SN-MP (32-35)

Y Axis (59.623)

Bjorks sum

(394)

J ratio ( 62-65%)

Gonial angle (1237)

Upper anterior facial height (46%)

Lower anterior facial height (54%)

Upper Incisors :

A-Pog: 6.041.3mm

mm

NA: 4.422.05mm

mm

NA: 24.025.82

Palatal Plane ( 71)

SN(103)

Lower Incisor:

A-Pog ( -2mm to 2mm)

mm

NB (4.41.7mm)

mm

NB (274.3 )

IMPA (99)

Inter-incisor Angle (123)

Soft tissue analysis:

E line (mm)

S line (mm)

Upper lip
(-3.6mm)

mm

Lower lip
(-1.8 mm)

mm

Upper lip
(0 mm)

mm

Lower lip
(0 mm)

mm

Nasolabial angle
(90 -110)

Inter labial gap

mm

Lip strain

mm

Cogs analysis
North Indian Norms
Posterior cranial base 32.40
Anterior cranial base
Facial convexity

47.64
4.15

Maxillary protrusion -4.01

Mandibular protrusion -10.06
Chin protrusion

-9.40

Upper anterior facial height:46.91

Lower anterior facial height:56.14

mm
mm

mm
mm
mm
mm
mm

Cogs analysis
North Indian Norms
Upper posterior facial ht

47.77

Mandibular plane angle

23.35

Upper anterior dental ht

24.55

Lower anterior dental ht 36.22

Upper posterior dental ht 20.14
Lower posterior dental ht 29.26

mm

mm
mm
mm
mm

Cogs analysis
North Indian Norms
Maxillary length

45.70

Mandibular ramal length

(males = 44.19 mm; females = 42.22 mm )
Mandibular body length 67.15
Chin depth

5.46

Gonial angle

123.42

Wits analysis

-2.21

Upper incisor angle

116.67

Lower incisor inclination 92.21

( males = 92.21; females = 97.41)

mm

mm

mm
mm

mm

Summary: reported with is a case of Angles class I malocclusion on skeletal

class bases ().
Problem list :
Treatment objectives:

Leveling and alignment of upper and lower arch

To achieve normal inclination of upper and lower teeth

To achieve normal overjet and overbite

To achieve correction of midlines

To correct Boltons discrepancy

Discrepancy calculation
MAXILLARY ARCH

Tooth material = mm
Arch perimeter = mm
Acc. to Arch perimeter analysis = mm Space
MANDIBULAR ARCH

FMA=

IMPA=

Ideal IMPA correction needed = clination

IMPA correction to be done = clination
Space =mm
Crowding = mm
Curve of spee=mm
Total space required =mm
Tooth material = mm
Arch perimeter = mm
Acc. to Careys = mm Space

Treatment option :

Retention plan:
Upper modified Beggs wrap around Retainer
Lower 3-3 FSW

Keywords: