Patient Case Studies Group 5
SH-PROBLEM LIST
- Underbite caused by a backward positioned small upper jaw.
- Underbite caused by a forward positioned large lower jaw.
- Open bite and long facial appearance caused by the vertically excessive downward growth of the upper jaw.
- Crossbite caused by the inadequate width of the upper jaw.
- Upper jaw asymmetry due to the rotation of the upper jaw dental midline to the right.
- Lower jaw asymmetry due to the rotation of the lower jaw dental and facial midline to the left.
- Chin is vertically excessive as well as lacking a normal esthetic mental-labial fold.
- Paranasal deficiency caused by a backward positioned small upper jaw.
- Lip incompetence and lip strain caused by the vertically excessive downward growth of the upper jaw.
- Inflammation of the gum tissue of the upper front teeth which is caused by the chronic air exposure due to the vertically excessive downward growth of the upper jaw.
- Severe crowding of teeth and dental compensation.
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Post-Op
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PRE AND POST-SURGICAL ORTHODONTICS BY DR. JAY REICHELD.
SURGICAL TREATMENT PLAN
- Upper jaw advancement with graft to correct the backward positioned small upper jaw and paranasal deficiency.
- Superiorly reposition the upper jaw to treat the vertically excessive downward growth of the upper jaw to minimize the long facial appearance.
- Upper jaw rotation to correct the upper jaw's dental midline asymmetry.
- Surgically widen the upper jaw to correct the crossbite.
- Lower jaw autorotation to close open bite as well as treat lip incompetence and lip strain.
- Lower jaw setback to correct the underbite associated with a forward positioned large lower jaw.
- Lower jaw rotation to correct the lower jaw's dental and facial midline.
- Genioplasty to reposition chin forward as well as to vertically reduce the length of the chin and create an esthetic chin shape by restoring a normal mental-labial fold.
JJ-PROBLEM LIST
- Underbite caused by a large forward positioned lower jaw.
- The lower lip and chin are positioned forward relative to the base of the nose.
- Esthetic nasal-labial angle.
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Post-Op
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PRE AND POST-SURGICAL ORTHODONTICS BY DR. JEFF AHLIN.
SURGICAL TREATMENT PLAN
- Lower jaw setback to correct the underbite associated with a large forward positioned lower jaw.
RK-PROBLEM LIST
- Open bite caused by the excessive vertical downward growth of the back portion of the upper jaw.
- Crossbite caused by the inadequate width of the upper jaw.
- Mild lower jaw asymmetry with deviation of the lower jaw to the right.
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Post-Op
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PRE AND POST-SURGICAL ORTHODONTICS BY DR. CHARLES CAPPETTA.
SURGICAL TREATMENT PLAN
- Superiorly reposition the upper jaw to correct the excessive vertical downward growth of the back portion of the upper jaw.
- Surgically widen the upper jaw to correct the crossbite.
- Lower jaw autorotation forward to close the open bite.
- Lower jaw setback and rotation to correct dental and facial midline.
CM-PROBLEM LIST
- Open bite caused by the excessive downward vertical growth of the back portion of the upper jaw.
- Underbite caused by a backward positioned small upper jaw.
- Lower jaw asymmetry with deviation of the dental and facial midline.
- Small chin.
- Lip incompetence.
- Outwardly turned lower lip and short unsupported upper lip.
- Severe paranasal deficiency caused by a backward positioned small upper jaw.
- Insufficient show of upper front teeth.
- Long facial appearance caused by the excessive downward vertical growth of the back portion of the upper jaw.
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Post-Op
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PRE AND POST-SURGICAL ORTHODONTICS BY DR. MAURICE THEBERGE.
SURGICAL TREATMENT PLAN
- High step upper jaw advancement with bone grafting to treat the underbite and paranasal deficiency associated with a backward positioned small upper jaw.
- Superiorly reposition the upper jaw in order to close the open bite.
- Lower jaw autorotation to close the open bite and treat the lip incompetence.
- Lower jaw setback and rotation to correct midline.
- Genioplasty to advance the chin point and create better esthetics.
RM-PROBLEM LIST
- Underbite caused by a severely backward positioned small upper jaw.
- Gummy smile secondary to the vertically excessive downward growth of the upper jaw.
- Lower jaw asymmetry with facial and dental midline deviation to the left.
- Crossbite caused by the inadequate width of the upper jaw.
- Severe paranasal deficiency caused by a backward positioned small upper jaw.
- Narrow base of the nose.
- Lip incompetence.
- Absent mental-labial fold.
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Post-Op
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PRE AND POST-SURGICAL ORTHODONTICS BY DR. JOHN BURKE.
SURGICAL TREATMENT PLAN
- High step upper jaw advancement with bone grafting to treat the backward positioned small upper jaw and severe paranasal deficiency.
- Surgically widen the upper jaw to correct the crossbite.
- Superiorly reposition the upper jaw to treat the vertically excessive downward growth and resulting gummy smile.
- Allowing the base of the nose to widen with the advancement of the upper jaw.
- Lower jaw autorotation forward.
- Lower jaw setback to compensate for forward autorotation of the lower jaw.
- Lower jaw rotation to correct the mandibular dental and facial midline asymmetry.
- Genioplasty to restore chin point to its original horizontal position and improve chin esthetics by restoring a normal mental-labial fold.
KP-PROBLEM LIST
- Underbite caused by a forward positioned large lower jaw.
- Previous orthodontics with extraction of lower first bicuspids in an attempt to correct the underbite. The resulting excessive dental compensation has periodontally compromised the lower front teeth.
- Crossbite caused by a forward positioned large lower jaw.
- Edge to edge bite caused by a forward positioned large lower jaw.
- Esthetic nasal-labial angle.
- Vertically long chin appearance.
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Post-Op
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PRE AND POST-SURGICAL ORTHODONTICS BY DR. JOHN ALBERTI.
SURGICAL TREATMENT PLAN
- Lower jaw setback to correct the crossbite and underbite associated with a forward positioned large lower jaw.
- Genioplasty for further reduction of the horizontal chin projection, as well as reducing the vertical length of the chin in order to create better esthetics.