Atlas of Orthodontic Case Reviews

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.

Preface   xiiixv

Acknowledgments 

1  Interceptive (Mixed Dentition): Case 1 1

Interview Data1

Clinical Examination1

Dentition 2

Right Buccal View 2

Left Buccal View 2

Maxillary Arch 2

Mandibular Arch 2

Function 3

Diagnosis­and Treatment Plan 3

Treatment Objectives 5

Treatment Options 5

First­Active Appointment with Quad-Helix in Place 6

Second­to Fourth Active Appointments   7

Six­ Months after Initial Placement of the Appliance 8

Commentary 9

Review Questions 10

Suggested References10

2  Interceptive (Mixed Dentition): Case 2 11

Interview Data 11

Clinical Examination 11

Dentition 12

Right Buccal View 12

Left Buccal View 12

Maxillary Arch 13

Mandibular Arch 13

Function 13

Diagnosis­and Treatment Plan 14

Treatment Objectives15

Treatment Options15

First­Active Appointment 16

Second­Active Appointment 17

Third­Active Appointment 17

Fourth­Active Appointment   18

Fifth­Active Appointment 18

Phase ICompleted 19

Commentary 21

Review Questions 21

Suggested References 21

Phase I Treatment: Class III Skeletal and Class I Dental with Posterior and Anterior Crossbites   23

3 Interview Data 23

Clinical Examination 23

Dentition 24

Right Buccal View 24

Left Buccal View 24

Maxillary Arch 25

Mandibular Arch 25

Function25

Diagnosis­and Treatment Plan 26

Treatment Objectives 27

Treatment Options 27

First­Active Appointment 28

Second­Active Appointment 29

Third­Active Appointment 30

Fourth­Active Appointment   31

Fifth­Active Appointment 32

Sixth­Active Appointment 32

Seventh­and Eighth Active Appointments   33

Ninth­and 10th Active Appointments 34

Eleventh­Active Appointment 35

Twelfth­Active Appointment 36

Thirteenth Appointment36

Commentary39

Review Questions 40

Suggested References 40

4 Class I Skeletal and Class I Dental with Blocked-Out Maxillary Canine: Non-Extraction   41

Interview Data 41

Clinical Examination 41

Dentition 42

Right Buccal View 42

Left Buccal View 42

Maxillary Arch 43

Mandibular Arch 43

Function43

Diagnosis­and Treatment Plan 44

Treatment Objectives 45

Treatment Options 45

First­Active Appointment 46

Second­Active Appointment 47

Third­to Fifth Active Appointments 48

Sixth Appointment 49

Commentary 53

Review Questions 53

Suggested References 53

5 Class I Skeletal and Class I Dental with a Deep Bite   55

Interview Data 55

Clinical Examination 55

Dentition 56

Right Buccal View 56

Left Buccal View 56

Maxillary Arch 57

Mandibular Arch 57

Function57

Treatment Objectives 59

Treatment Options 59

First­and Second Active Appointments 60

Third­Active Appointment 61

Fourth­Active appointment 62

Fifth­Active Appointment 63

Sixth­Active Appointment 64

Seventh­Active Appointment 66

Eighth­and Ninth Active Appointments 67

Tenth­Active Appointment 68

Eleventh­and 12th Active Appointments 69

Thirteenth­Active Appointment 69

Fourteenth­Active Appointment 70

Fifteenth Appointment71

Commentary74

Review Questions 74

Suggested References 74

6 Class I Skeletal and Class I Dental with Asymmetry: Non-Extraction   75

Interview Data 75

Clinical Examination 75

Dentition 76

Right Buccal View 76

Left Buccal View 76

Maxillary Arch 77

Mandibular Arch 77

Function77

Diagnosis­and Treatment Plan 78

Treatment Objectives 79

Treatment Options 79

First­Active Appointment 80

Second­Active Appointment 81

Third­Active Appointment 82

Fourth­Active Appointment 83

Fifth­Active Appointment 84

Sixth­and Seventh Active Appointments 85

Eighth­Active Appointment 85

Ninth Appointment86

Commentary90

Review Questions 90

Suggested References 90

7 Class II Skeletal and Class II Dental: Extraction of Maxillary First Premolars   91

Interview Data91

Clinical Examination91

Dentition 92

Right Buccal View 92

Left Buccal View 92

Maxillary Arch 93

Mandibular Arch 93

Function 93

Diagnosis­and Treatment Plan 94

Treatment Objectives 95

Treatment Options 96

First­Active Appointment 96

Second­Active Appointment 98

Third­Active Appointment 99

Fourth­Active Appointment 100

Fifth­Active Appointment 101

Sixth­and Seventh Active Appointments 102

Eighth­Active Appointment 103

Ninth­and 10th Active Appointments 104

Eleventh­and 12th Active Appointments 105

Thirteenth­Appointment (Debond and Retainer Delivery)   105

Commentary108

Review Questions 108

Suggested References108

8 Class II Skeletal and Class II Dental: Non-Compliant   109

Interview Data109

Clinical Examination109

Dentition 110

Right Buccal View 110

Left Buccal View 110

Maxillary Arch 111

Mandibular Arch 111

Function111

Diagnosis­and Treatment Plan 112

Treatment Objectives113

Treatment Options113

First­Active Appointment 114

Second­and Third Active Appointments 115

Fourth­and Fifth Active Appointments 116

Sixth­Active Appointment 117

Seventh­and Eighth Active Appointments 118

Ninth­to 12th Active Appointments 119

Thirteenth Appointment 120

Fourteenth­Active Appointment 122

Fifteenth Appointment122

Commentary125

Review Questions 126

Suggested References 126

9 Skeletal Class II and Dental Class II Division 1 Subdivision: Four Premolar Extractions   127

Interview Data 127

Clinical Examination127

Dentition 128

Right Buccal View 128

Left Buccal View 128

Maxillary Arch 129

Mandibular Arch 129

Function 129

Diagnosis­and Treatment Plan 130

Treatment Objectives 131

Treatment Options 131

First­Active Appointment 131

Second­Active Appointment 133

Third­Active Appointment 134

Fourth­and Fifth Active Appointments 135

Sixth­Active Appointment 136

Seventh­Active Appointment 137

Eighth­Active Appointment 137

Ninth­Active Appointment 138

Tenth­Active Appointment 139

Eleventh­Active Appointment 140

Twelfth­Active Appointment 141

Thirteenth­Active Appointment 142

Fourteenth­Active Appointment 142

Fifteenth­to 17th Active Appointments 143

Eighteenth Appointment 143

Commentary 145

Review Questions 147

Suggested References 147

10  Class III Skeletal Tendency and Class I Dental: Four Premolar Extractions 149

Interview Data 149

Clinical Examination 149

Dentition 150

Right Buccal View 150

Left Buccal View 150

Maxillary Arch 151

Mandibular Arch 151

Function 151

Diagnosis­and Treatment Plan 152

Treatment Objectives 153

Treatment Options 153

Passive Appointments 153

First­Active Appointment 154

Second­Active Appointment 155

Third­Active Appointment 156

Fourth­Active Appointment 157

Fifth­Active Appointment 158

Sixth­to Eighth Active Appointments 159

Ninth­Active Appointment 160

Tenth­to 11th Active Appointments   161

Twelfth­to 13th Active Appointments 162

Fourteenth­Active Appointment 163

Fifteenth­Active Appointment 163

Commentary 167

Review Questions 167

Suggested References 167

11  Class III Skeletal and Class III Dental: Non-Extraction and Non-Surgical 169

Interview Data 169

Clinical Examination 169

Dentition 170

Right Buccal View 170

Left Buccal View 170

Maxillary Arch 171

Mandibular Arch 171

Function 171

Diagnosis­and Treatment Plan 172

Treatment Objectives 173

Treatment Options 173

First­Active Appointment with Full Appliances Placed   174

Second­Active Appointment 175

Third­Active Appointment 176

Fourth­Active Appointment 177

Fifth­Active Appointment 178

Sixth­Active Appointment 179

Seventh­Active Appointment 179

Eighth­and Ninth Active Appointments 180

Commentary183

Review Questions 183

Suggested References183

12 Class III Skeletal and Class III Dental: Non-Extraction   185

Interview Data 185

Clinical Examination 185

Dentition 186

Right Buccal View 186

Left Buccal View 186

Maxillary Arch 187

Mandibular Arch 187

Function187

Diagnosis­and Treatment Plan 188

Treatment Objectives189

Treatment Options189

First­Active Appointment 190

Second­Active Appointment 191

Third­Active Appointment 192

Fourth­Active Appointment 193

Fifth­Active Appointment 194

Sixth­Active Appointment 195

Seventh­to Eighth Active Appointments 196

Ninth­Active Appointment 196

Tenth­Active Appointment 197

Tenth Appointment 198

Commentary 201

Review Questions 201

Suggested Reference 201

13 Class III Skeletal Pattern and Class II Dental: Non-Extraction   203

Interview Data 203

Clinical Examination 203

Dentition 204

Right Buccal View 204

Left Buccal View 204

Maxillary Arch 205

Mandibular Arch 205

Function 205

Diagnosis­and Treatment Plan 206

Treatment Objectives 207

Treatment Options 207

First­Active Appointment 207

Second­Active Appointment 208

Third­to Fourth Active Appointment   209

Fifth­Active Appointment 210

Sixth­Active Appointment 211

Seventh­Active Appointment 212

Eighth­Active Appointment 213

Ninth Appointment 213

Commentary 216

Review Questions 217

Suggested References 217

14 Class III Skeletal and Class I Dental: Four Premolar Extractions   219

Interview Data 219

Clinical Examination 219

Dentition 220

Right Buccal View 220

Left Buccal View 220

Maxillary Arch 221

Mandibular Arch 221

Function 221

Diagnosis­and Treatment Plan 222

Treatment Objectives 223

Treatment Options 223

First­Active Appointment 223

Second­Active Appointment 224

Third­Active Appointment 225

Fourth­Active Appointment 226

Fifth­Active Appointment 227

Sixth­Active Appointment 228

Seventh­Active Appointment 229

Eighth­Active Appointment 230

Ninth­Active Appointment 231

Tenth­Active Appointment 232

Eleventh­to 12th Active Appointments 233

Thirteenth­Active Appointment 234

Fourteenth­Active Appointment   235

Fifteenth Appointment236

Commentary239

Review Questions 239

Suggested References 239

15 Class III Surgical 241

Interview Data241

Clinical Examination241

Dentition 242

Right Buccal View 242

Left Buccal View 242

Maxillary Arch 243

Mandibular Arch 243

Function 243

Diagnosis­and Treatment Plan 244

Treatment Objectives 244

Treatment Options 245

First­Active Appointment 247

Second­and Third Active Appointments 248

Fourth­Active Appointment 248

Fifth­and Sixth Active Appointments 248

Seventh­Active Appointment 250

Eighth­Active Appointment 250

First­Post-Surgical Appointment 251

Second­Post-Surgical Appointment 253

Third­Post-Surgical Appointment 253

Commentary  256

Review Questions   256

Suggested References  256

Index 257