I/O
- Normal overjet/overbit
- nil cross bite
- 12 and 22 protruding
- anterior crowding present, lack of primate spacing
- midline 1mm off center
- oral health good
OPG Teeth present
- Permanent
- mx and md incisors
- mx and md 6s
- Primary
- 53,54,63,65
- 73,74,75,83,85,85
- findings
- missing 55,64
- develpoing teeth:
- permanent …
Problem List
Facial:
- convex facial form
- long face
- incompetent lips
Dental:
- Mild-moderate maxillary and mandibular incisor crowding
- protrusion of maxillary lateral incisors
- Q2 pace loss
- canine impaction
**Skeletal ** Class III
**Ideal Treatment goals **
- Distalization of 26 to regain space and for permanetn premolars
- correction of max midline to be consistent with facial midline
- correction of incisor crowding and protrusion
- correction of class 2 skeleatal problems
When should be performed:
- space regaining and midline alignment: Prior to eruption of premolars, treatment to commence immediatel
- Correction of class II correspond to growth spurt
Lack of treatment may lead to
- Poorer aesthetics, possibly leading to self-consciousness or bullying (psychosocial concerns)…
Dental tx:
- aim : create space + improve erupt