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Atlas of Orthodontic Case Reviews
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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 Diagnosis and Treatment Plan 3 Treatment Objectives 5 Treatment Options 5 First Active Appointment with Quad-Helix in Place 6 Second to 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 Diagnosis and Treatment Plan 14 Treatment Objectives15 Treatment Options15 First Active Appointment 16 Second Active Appointment 17 Third Active Appointment 17 Fourth Active Appointment 18 Fifth Active 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 Diagnosis and Treatment Plan 26 Treatment Objectives 27 Treatment Options 27 First Active Appointment 28 Second Active Appointment 29 Third Active Appointment 30 Fourth Active Appointment 31 Fifth Active Appointment 32 Sixth Active Appointment 32 Seventh and Eighth Active Appointments 33 Ninth and 10th Active Appointments 34 Eleventh Active Appointment 35 Twelfth Active 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 Diagnosis and Treatment Plan 44 Treatment Objectives 45 Treatment Options 45 First Active Appointment 46 Second Active Appointment 47 Third to 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 First and Second Active Appointments 60 Third Active Appointment 61 Fourth Active appointment 62 Fifth Active Appointment 63 Sixth Active Appointment 64 Seventh Active Appointment 66 Eighth and Ninth Active Appointments 67 Tenth Active Appointment 68 Eleventh and 12th Active Appointments 69 Thirteenth Active Appointment 69 Fourteenth Active 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 Diagnosis and Treatment Plan 78 Treatment Objectives 79 Treatment Options 79 First Active Appointment 80 Second Active Appointment 81 Third Active Appointment 82 Fourth Active Appointment 83 Fifth Active Appointment 84 Sixth and Seventh Active Appointments 85 Eighth Active 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 Diagnosis and Treatment Plan 94 Treatment Objectives 95 Treatment Options 96 First Active Appointment 96 Second Active Appointment 98 Third Active Appointment 99 Fourth Active Appointment 100 Fifth Active Appointment 101 Sixth and Seventh Active Appointments 102 Eighth Active Appointment 103 Ninth and 10th Active Appointments 104 Eleventh and 12th Active Appointments 105 Thirteenth Appointment (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 Diagnosis and Treatment Plan 112 Treatment Objectives113 Treatment Options113 First Active Appointment 114 Second and Third Active Appointments 115 Fourth and Fifth Active Appointments 116 Sixth Active Appointment 117 Seventh and Eighth Active Appointments 118 Ninth to 12th Active Appointments 119 Thirteenth Appointment 120 Fourteenth Active 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 Diagnosis and Treatment Plan 130 Treatment Objectives 131 Treatment Options 131 First Active Appointment 131 Second Active Appointment 133 Third Active Appointment 134 Fourth and Fifth Active Appointments 135 Sixth Active Appointment 136 Seventh Active Appointment 137 Eighth Active Appointment 137 Ninth Active Appointment 138 Tenth Active Appointment 139 Eleventh Active Appointment 140 Twelfth Active Appointment 141 Thirteenth Active Appointment 142 Fourteenth Active Appointment 142 Fifteenth to 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 Diagnosis and Treatment Plan 152 Treatment Objectives 153 Treatment Options 153 Passive Appointments 153 First Active Appointment 154 Second Active Appointment 155 Third Active Appointment 156 Fourth Active Appointment 157 Fifth Active Appointment 158 Sixth to Eighth Active Appointments 159 Ninth Active Appointment 160 Tenth to 11th Active Appointments 161 Twelfth to 13th Active Appointments 162 Fourteenth Active Appointment 163 Fifteenth Active 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 Diagnosis and Treatment Plan 172 Treatment Objectives 173 Treatment Options 173 First Active Appointment with Full Appliances Placed 174 Second Active Appointment 175 Third Active Appointment 176 Fourth Active Appointment 177 Fifth Active Appointment 178 Sixth Active Appointment 179 Seventh Active Appointment 179 Eighth and 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 Diagnosis and Treatment Plan 188 Treatment Objectives189 Treatment Options189 First Active Appointment 190 Second Active Appointment 191 Third Active Appointment 192 Fourth Active Appointment 193 Fifth Active Appointment 194 Sixth Active Appointment 195 Seventh to Eighth Active Appointments 196 Ninth Active Appointment 196 Tenth Active 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 Diagnosis and Treatment Plan 206 Treatment Objectives 207 Treatment Options 207 First Active Appointment 207 Second Active Appointment 208 Third to Fourth Active Appointment 209 Fifth Active Appointment 210 Sixth Active Appointment 211 Seventh Active Appointment 212 Eighth Active 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 Diagnosis and Treatment Plan 222 Treatment Objectives 223 Treatment Options 223 First Active Appointment 223 Second Active Appointment 224 Third Active Appointment 225 Fourth Active Appointment 226 Fifth Active Appointment 227 Sixth Active Appointment 228 Seventh Active Appointment 229 Eighth Active Appointment 230 Ninth Active Appointment 231 Tenth Active Appointment 232 Eleventh to 12th Active Appointments 233 Thirteenth Active Appointment 234 Fourteenth Active 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 Diagnosis and Treatment Plan 244 Treatment Objectives 244 Treatment Options 245 First Active Appointment 247 Second and Third Active Appointments 248 Fourth Active Appointment 248 Fifth and Sixth Active Appointments 248 Seventh Active Appointment 250 Eighth Active Appointment 250 First Post-Surgical Appointment 251 Second Post-Surgical Appointment 253 Third Post-Surgical Appointment 253 Commentary 256 Review Questions 256 Suggested References 256 Index 257

About the Author

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.

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