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   xiiixvAcknowledgments 1  Interceptive (Mixed Dentition): Case 1 1Interview Data1Clinical Examination1Dentition 2Right Buccal View 2Left Buccal View 2Maxillary Arch 2Mandibular Arch 2Function 3Diagnosis­and Treatment Plan 3Treatment Objectives 5Treatment Options 5First­Active Appointment with Quad-Helix in Place 6Second­to Fourth Active Appointments   7Six­ Months after Initial Placement of the Appliance 8Commentary 9Review Questions 10Suggested References102  Interceptive (Mixed Dentition): Case 2 11Interview Data 11Clinical Examination 11Dentition 12Right Buccal View 12Left Buccal View 12Maxillary Arch 13Mandibular Arch 13Function 13Diagnosis­and Treatment Plan 14Treatment Objectives15Treatment Options15First­Active Appointment 16Second­Active Appointment 17Third­Active Appointment 17Fourth­Active Appointment   18Fifth­Active Appointment 18Phase ICompleted 19Commentary 21Review Questions 21Suggested References 21Phase I Treatment: Class III Skeletal and Class I Dental with Posterior and Anterior Crossbites   233 Interview Data 23Clinical Examination 23Dentition 24Right Buccal View 24Left Buccal View 24Maxillary Arch 25Mandibular Arch 25Function25Diagnosis­and Treatment Plan 26Treatment Objectives 27Treatment Options 27First­Active Appointment 28Second­Active Appointment 29Third­Active Appointment 30Fourth­Active Appointment   31Fifth­Active Appointment 32Sixth­Active Appointment 32Seventh­and Eighth Active Appointments   33Ninth­and 10th Active Appointments 34Eleventh­Active Appointment 35Twelfth­Active Appointment 36Thirteenth Appointment36Commentary39Review Questions 40Suggested References 404 Class I Skeletal and Class I Dental with Blocked-Out Maxillary Canine: Non-Extraction   41Interview Data 41Clinical Examination 41Dentition 42Right Buccal View 42Left Buccal View 42Maxillary Arch 43Mandibular Arch 43Function43Diagnosis­and Treatment Plan 44Treatment Objectives 45Treatment Options 45First­Active Appointment 46Second­Active Appointment 47Third­to Fifth Active Appointments 48Sixth Appointment 49Commentary 53Review Questions 53Suggested References 535 Class I Skeletal and Class I Dental with a Deep Bite   55Interview Data 55Clinical Examination 55Dentition 56Right Buccal View 56Left Buccal View 56Maxillary Arch 57Mandibular Arch 57Function57Treatment Objectives 59Treatment Options 59First­and Second Active Appointments 60Third­Active Appointment 61Fourth­Active appointment 62Fifth­Active Appointment 63Sixth­Active Appointment 64Seventh­Active Appointment 66Eighth­and Ninth Active Appointments 67Tenth­Active Appointment 68Eleventh­and 12th Active Appointments 69Thirteenth­Active Appointment 69Fourteenth­Active Appointment 70Fifteenth Appointment71Commentary74Review Questions 74Suggested References 746 Class I Skeletal and Class I Dental with Asymmetry: Non-Extraction   75Interview Data 75Clinical Examination 75Dentition 76Right Buccal View 76Left Buccal View 76Maxillary Arch 77Mandibular Arch 77Function77Diagnosis­and Treatment Plan 78Treatment Objectives 79Treatment Options 79First­Active Appointment 80Second­Active Appointment 81Third­Active Appointment 82Fourth­Active Appointment 83Fifth­Active Appointment 84Sixth­and Seventh Active Appointments 85Eighth­Active Appointment 85Ninth Appointment86Commentary90Review Questions 90Suggested References 907 Class II Skeletal and Class II Dental: Extraction of Maxillary First Premolars   91Interview Data91Clinical Examination91Dentition 92Right Buccal View 92Left Buccal View 92Maxillary Arch 93Mandibular Arch 93Function 93Diagnosis­and Treatment Plan 94Treatment Objectives 95Treatment Options 96First­Active Appointment 96Second­Active Appointment 98Third­Active Appointment 99Fourth­Active Appointment 100Fifth­Active Appointment 101Sixth­and Seventh Active Appointments 102Eighth­Active Appointment 103Ninth­and 10th Active Appointments 104Eleventh­and 12th Active Appointments 105Thirteenth­Appointment (Debond and Retainer Delivery)   105Commentary108Review Questions 108Suggested References1088 Class II Skeletal and Class II Dental: Non-Compliant   109Interview Data109Clinical Examination109Dentition 110Right Buccal View 110Left Buccal View 110Maxillary Arch 111Mandibular Arch 111Function111Diagnosis­and Treatment Plan 112Treatment Objectives113Treatment Options113First­Active Appointment 114Second­and Third Active Appointments 115Fourth­and Fifth Active Appointments 116Sixth­Active Appointment 117Seventh­and Eighth Active Appointments 118Ninth­to 12th Active Appointments 119Thirteenth Appointment 120Fourteenth­Active Appointment 122Fifteenth Appointment122Commentary125Review Questions 126Suggested References 1269 Skeletal Class II and Dental Class II Division 1 Subdivision: Four Premolar Extractions   127Interview Data 127Clinical Examination127Dentition 128Right Buccal View 128Left Buccal View 128Maxillary Arch 129Mandibular Arch 129Function 129Diagnosis­and Treatment Plan 130Treatment Objectives 131Treatment Options 131First­Active Appointment 131Second­Active Appointment 133Third­Active Appointment 134Fourth­and Fifth Active Appointments 135Sixth­Active Appointment 136Seventh­Active Appointment 137Eighth­Active Appointment 137Ninth­Active Appointment 138Tenth­Active Appointment 139Eleventh­Active Appointment 140Twelfth­Active Appointment 141Thirteenth­Active Appointment 142Fourteenth­Active Appointment 142Fifteenth­to 17th Active Appointments 143Eighteenth Appointment 143Commentary 145Review Questions 147Suggested References 14710  Class III Skeletal Tendency and Class I Dental: Four Premolar Extractions 149Interview Data 149Clinical Examination 149Dentition 150Right Buccal View 150Left Buccal View 150Maxillary Arch 151Mandibular Arch 151Function 151Diagnosis­and Treatment Plan 152Treatment Objectives 153Treatment Options 153Passive Appointments 153First­Active Appointment 154Second­Active Appointment 155Third­Active Appointment 156Fourth­Active Appointment 157Fifth­Active Appointment 158Sixth­to Eighth Active Appointments 159Ninth­Active Appointment 160Tenth­to 11th Active Appointments   161Twelfth­to 13th Active Appointments 162Fourteenth­Active Appointment 163Fifteenth­Active Appointment 163Commentary 167Review Questions 167Suggested References 16711  Class III Skeletal and Class III Dental: Non-Extraction and Non-Surgical 169Interview Data 169Clinical Examination 169Dentition 170Right Buccal View 170Left Buccal View 170Maxillary Arch 171Mandibular Arch 171Function 171Diagnosis­and Treatment Plan 172Treatment Objectives 173Treatment Options 173First­Active Appointment with Full Appliances Placed   174Second­Active Appointment 175Third­Active Appointment 176Fourth­Active Appointment 177Fifth­Active Appointment 178Sixth­Active Appointment 179Seventh­Active Appointment 179Eighth­and Ninth Active Appointments 180Commentary183Review Questions 183Suggested References18312 Class III Skeletal and Class III Dental: Non-Extraction   185Interview Data 185Clinical Examination 185Dentition 186Right Buccal View 186Left Buccal View 186Maxillary Arch 187Mandibular Arch 187Function187Diagnosis­and Treatment Plan 188Treatment Objectives189Treatment Options189First­Active Appointment 190Second­Active Appointment 191Third­Active Appointment 192Fourth­Active Appointment 193Fifth­Active Appointment 194Sixth­Active Appointment 195Seventh­to Eighth Active Appointments 196Ninth­Active Appointment 196Tenth­Active Appointment 197Tenth Appointment 198Commentary 201Review Questions 201Suggested Reference 20113 Class III Skeletal Pattern and Class II Dental: Non-Extraction   203Interview Data 203Clinical Examination 203Dentition 204Right Buccal View 204Left Buccal View 204Maxillary Arch 205Mandibular Arch 205Function 205Diagnosis­and Treatment Plan 206Treatment Objectives 207Treatment Options 207First­Active Appointment 207Second­Active Appointment 208Third­to Fourth Active Appointment   209Fifth­Active Appointment 210Sixth­Active Appointment 211Seventh­Active Appointment 212Eighth­Active Appointment 213Ninth Appointment 213Commentary 216Review Questions 217Suggested References 21714 Class III Skeletal and Class I Dental: Four Premolar Extractions   219Interview Data 219Clinical Examination 219Dentition 220Right Buccal View 220Left Buccal View 220Maxillary Arch 221Mandibular Arch 221Function 221Diagnosis­and Treatment Plan 222Treatment Objectives 223Treatment Options 223First­Active Appointment 223Second­Active Appointment 224Third­Active Appointment 225Fourth­Active Appointment 226Fifth­Active Appointment 227Sixth­Active Appointment 228Seventh­Active Appointment 229Eighth­Active Appointment 230Ninth­Active Appointment 231Tenth­Active Appointment 232Eleventh­to 12th Active Appointments 233Thirteenth­Active Appointment 234Fourteenth­Active Appointment   235Fifteenth Appointment236Commentary239Review Questions 239Suggested References 23915 Class III Surgical 241Interview Data241Clinical Examination241Dentition 242Right Buccal View 242Left Buccal View 242Maxillary Arch 243Mandibular Arch 243Function 243Diagnosis­and Treatment Plan 244Treatment Objectives 244Treatment Options 245First­Active Appointment 247Second­and Third Active Appointments 248Fourth­Active Appointment 248Fifth­and Sixth Active Appointments 248Seventh­Active Appointment 250Eighth­Active Appointment 250First­Post-Surgical Appointment 251Second­Post-Surgical Appointment 253Third­Post-Surgical Appointment 253Commentary  256Review Questions   256Suggested References  256Index 257

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