正畸病例分析英文

Summary

第1页/共34页第一页，共35页。Keyinformation

longface16-year-oldgirlfromnortheast

family

historytaciturnityComewithhermomWeekend-opend第2页/共34页第二页，共35页。maintroubleHyperosteogeniedMandibular

mandibularprotrusionAllabove？第3页/共34页第三页，共35页。HighAngleunderbiteHereditycircumstance

：Congenital（Macroglossiadisease）Acquired（1）hyperpituitarism（2）maxillarydeciduousteethearly-missed、retention、Inadequatecanineabrasion

第4页/共34页第四页，共35页。（3）earlymaxillary

permanentteetheruption（4）functionalfactor：suckle、hypertrophy

of

tonsil、muscledysfunction（5）badhadit第5页/共34页第五页，共35页。Otherinformationneeded（1）Inquiry：systemic

disease、badhadit、alreadytreatment、Duration、familyhistory、psychological

guidance第6页/共34页第六页，共35页。（2）inspection：①insidecheck：toothcount、toothshape、Oralhygiene、dentalarchshape、occlusalstatus、Softtissuelesions②outsidecheck：photograph、Symmetricface？proportion?overlengthlowed1/3？第7页/共34页第七页，共35页。auxiliary

examination：X-ray：PanoramicradiographexaminationlateralcephlometricsCT第8页/共34页第八页，共35页。Othercheck:modelanalysisTMJcheckmusculartensioncheck第9页/共34页第九页，共35页。①Extraoralphotographs：Frontalview：horizontal：Facialisasymmetry,anditmovestorightside

vertical：partiallengthisinthe1/3lowerfaceslip

:thedegreeof

closure、underlipisthickerthanupper第10页/共34页第十页，共35页。Lateral

view

：facialmorphology：concavetype

lip:thedegreeof

closure、Hline，Elinementolabialsulcus：shallow、

Mandibularadvancement第11页/共34页第十一页，共35页。第12页/共34页第十二页，共35页。②Intraoralphotographs：Frontalview

：

overbiteinanterior22、23、32、33openbitedistemain11and21crowdedinmaxillary第13页/共34页第十三页，共35页。Lateralview

：angleⅢ，anteriorteethisreverseoverjetandreverseoverbitemaxillaryanteriorteeth：labialinclinationmandibularanteriorteeth：lingualinclination

第14页/共34页第十四页，共35页。Occlusalview：

dentalarchsareoval，crowding

inthemaxillary.

maxillarycentralincisor：torsion第15页/共34页第十五页，共35页。oralhygiene：poorPeriodontium：healthygingivaAlveolarbone：thelabialboneofmandibleisthinLabialfrenum、linguaefrenum：normalsoftandhardtissues第16页/共34页第十六页，共35页。Pantomography：impactedteeth：18、28、38、48normal第17页/共34页第十七页，共35页。ThemeasurementitemsPermanentteethperiodsignificancemeasuredvalue

normalvalueSNA88º>82.8ºmaxillary

protrusionSNB94º>80.1ºMandibularprotrusionANB-6º<2.7ºNegative，mandibularprotrusionWits-17mm<-1.5mmmandibularprotrusion，classⅢ,mesioclusionNP-FH88º>85.4ºmandibularprotrusionY

axis67º>66.3ºmandibularprotrusion;

GrowthbeforethebottomNA-PA-7º<6.0ºmaxillaryretrusionMP-FH40º>31.1ºSteepnessofmandibularbody,largemandibularAngle,highfacialheight第18页/共34页第十八页，共35页。ThemeasurementitemsPermanentteethperiodsignificancemeasuredvalue

normalvalueMax1-SN128

º>105.7

ºmaxillarycentralincisorislabialinclinationMand1-MP66

º<92.6

ºmandibularcentralincisorislingualinclinationMax1-NA40.1

º>22.8

ºmaxillarycentralincisorislabialinclinationandbulgingMax1-NA9mm>5.1mmmaxillarycentralincisorislabialinclinationandbulgingislargeMand1-NB16.7

º<30.3

ºMandibularcentralincisorislingualinclinationandbulgingislargeMax-Mand1129.3

º>125.4

ºUpanddownthefrontofthedentalarchdegreeisrelativelysmall第19页/共34页第十九页，共35页。Themeasurementitems

Permanentteethperiodsignificance

measuredvalue

normalvalueN-Me122mm>119.7mmTheheightofthefaceismorethannormalN-ANS52mm<53.8mmmaxillarygrowthisInadequateANS-Me70mm>65.8mmpartiallengthisinthe1/3lowerfacesN-ANS/N-Me43%<45%maxillarygrowthisInadequateANS-Me/N-Me57%>55%partiallengthisinthe1/3lowerfaces第20页/共34页第二十页，共35页。1、maxillaryretrusion，mandibularprotrusion2、maxillarycentralincisorislabialinclinationmandibularcentralincisorislingualinclination3、Theheightofthefaceismorethannormal，maxillarygrowthisInadequate,partiallengthisinthe1/3lowerfacesConclusion第21页/共34页第二十一页，共35页。therapeuticregimen第22页/共34页第二十二页，共35页。Orthodontic-orthognathicsurgeryoption1第23页/共34页第二十三页，共35页。IndicationClassIII,mesioclusion(ANB<-4˚,upperincisorisobviouslylabialtilted，lowerincisorlingualtilted，anteriorofdeepreverseoverjet)第24页/共34页第二十四页，共35页。Pre-surgicalorthodontictreatmentAlignmentLevelingIncisalpositionandspaceclosureCoordinationofdentalarchesandcoorrectionofposteriorcrossbiteAccordingtomovementsanddecompensationofteeth,it’sbenificialtomovebones.第25页/共34页第二十五页，共35页。orthognathicsurgerySagittalsplintramusosteotomy第26页/共34页第二十六页，共35页。Post-surgicalorthodontictreatmentAlignmentSpaceclosingLevelingAdjustmentofanteropoetreiorpositionincisorsCoordinationofdentalarches第27页/共34页第二十七页，共35页。RetentionMaintainerChincap第28页/共34页第二十八页，共35页。camouflageoption2第29页/共34页第二十九页，共35页。Toothextractionincluding2maxillarysecondpremolarandthirdmolar2mandibularfirstpremolarsextractionandthirdmolarcouldpreventupperincis