CASE: EXTRACTION Dr. TRAINING M (CA) Caucasian AGE: 8.6 VISUAL NORMS RMO X: 02/06/ R: 02/21/2003 MISSING PERMANENT TEETH RMO 2003

Transcription

1 O C RMO CASE: EXTRACTION Dr. TRAINING M (CA) Caucasian AGE:. X: // - R: // MISSING PERMANENT TEETH VISUAL NORMS RMO R L

2 RMO Diagnostic Services RMO, Inc. ()- Post Office Box ()- Canoga Park, CA - EXTRACTION RMO Case Number: X-Ray date: // Age:. Reference: C C D Dr. Training RMO Run date: // Birthdate: // Sex: Male C C D - O R T H O D O N T I C C O N D I T I O N S C C D - S K E L E T A L C O N D I T I O N S LATERAL BEFORE TREATMENT LATERAL BEFORE TREATMENT FACTOR MEASURED CLINICAL CLINICAL FACTOR MEASURED CLINICAL CLINICAL VALUE NORM DEVIATIONS VALUE NORM DEVIATIONS # - Appears on tracing FROM NORM # - Appears on tracing FROM NORM ======================= DENTAL RELATIONS ======================= ====================== SKELETAL RELATIONS ====================== Molar Relation -. mm -. mm. # Convexity. mm. mm. * Canine Relation -. mm -. mm -. # Lower Facial Height. dg. dg. * Incisor Overjet. mm. mm. * Present Patient Height. in. in Incisor Overbite. mm. mm -. Posterior face height. mm Mand Incisor Extrusion. mm. mm. Anterior face height. mm # Interincisal Angle. dg. dg -. * Posterior/Anterior ratio. % Saddle Angle. dg. dg. ** ====================== DENTAL TO SKELETON ====================== Condylion-A point. mm. mm -. Condylion-Gnathion. mm. mm. # A Molar Position to PTV. mm. mm. Max-Mand Differential. mm. mm. * # B to A-Po Plane. mm. mm. * Menton-ANS. mm. mm. * A to A-Po Plane. mm. mm. ** # B Inclination to A-Po. dg. dg. ======================== JAW TO CRANIUM ======================== A Inclination to A-Po. dg. dg. ** Occlusal Plane to Xi. mm. mm. # Facial Depth. dg. dg -. Inclination of Occl Plane. dg. dg -. # Facial Axis. dg. dg -. * B Inclination to FH. dg. dg -. * # Maxillary Depth. dg. dg -. Maxillary Height. dg. dg. ============== ESTHETICS - Lips are open on X-Ray ============== Palatal Plane to FH. dg. dg -. # Mandibular Plane to FH. dg. dg. * Lower Lip to Esthetic Plane. mm -. mm. ** Ba-N-A. dg. dg. Upper Lip Length. mm. mm. S-N-A. dg. dg -. * Lip Embrasure to Occl Plane -. mm -. mm -. S-N-B. dg. dg -. ** NasoLabial Angle. dg. dg -. * A-N-B Difference. dg. dg. Total Facial Height. dg. dg. * ===================== NASOPHARYNGEAL AIRWAY ==================== ====================== INTERNAL STRUCTURE ====================== N-S-Ba. dg. dg. * Ba-S-PNS. dg. dg. * Cranial Deflection. dg. dg. Airway Percent. %. %. Cranial Length Anterior. mm. mm. * Linder-Aronson AD. mm. mm. Ramus Height (CF-Go). mm. mm -. * Linder-Aronson AD. mm. mm. Ramus Xi Position. dg. dg -. Distance PTV to Adenoid. mm. mm. Porion Location (Por to PTV) -. mm -. mm -. # Mandibular Arc. dg. dg -. ** Corpus Length. mm. mm -. * Prepared for the doctor and subject to the terms and conditions appearing on our current orderform

3 RMO Diagnostic Services RMO, Inc. ()- Post Office Box ()- Canoga Park, CA - EXTRACTION RMO Case Number: X-Ray date: // Age:. Reference: I N F O Dr. Training RMO Run date: // Birthdate: // Sex: Male P A T I E N T I N F O R M A T I O N S I G N I F I C A N T C O N S I D E R A T I O N S ============================= NAME ============================= CONDITION CCD FACTORS Patient name: EXTRACTION ========================== HORIZONTAL ========================== Doctor name: TRAINING Age:. Mild Overjet X-Ray date: // Skeletal Class II RMO Case Number: due to the mandible,,, RMO Run date: // ==================== MISSING PERMANENT TEETH =================== =========================== VERTICAL =========================== R L Skeletal Open Bite due to the mandible,, ======================= HEIGHT PREDICTION ====================== ========================== TRANSVERSE ========================== Assumed skeletal age:. Current height:. inches Amount of adult growth achieved:. % Expected adult height:. inches ======================== AIRWAY ANALYSIS ======================= If the patient is clinically diagnosed =========================== SYMMETRY =========================== as a mouthbreather, observed mouthbreathing is probably not caused by adenoid blockage of the airway. ======================== BOLTON ANALYSIS ======================= ==================== SPECIAL CONSIDERATIONS ==================== Not Available - Upper and lower arch not analyzed =========================== COMMENTS =========================== No analysis of frontal x-ray. Upper and lower arch expansion decisions based on available data only. Prepared for the doctor and subject to the terms and conditions appearing on our current orderform

4 CASE: EXTRACTION Dr. TRAINING M (CA) Caucasian AGE:. X: // - R: // MISSING PERMANENT TEETH TRACING BEFORE TREATMENT RMO R L / / / / / / / / / / / MEASURED VALUE/NORM R L SIGNIFICANT CONSIDERATIONS CONDITION REASON Mild Overjet Skeletal Class II due to the mandible Skeletal Open Bite due to the mandible Adenoid blockage of the airway? Probably not SHORTAGE. MM LEEWAY. MM FACIAL PATTERN: DOLICHOFACIAL # FACTORS MEASURED VALUE NORM CLINICAL DEVIATION Interincisal Angle. dg. dg -. * Convexity. mm. mm. * Lower Facial Height. dg. dg. * A Molar Position to PTV. mm. mm. B to A-Po Plane. mm. mm. * B Inclination to A-Po. dg. dg. Facial Depth. dg. dg -. Facial Axis. dg. dg -. * Maxillary Depth. dg. dg -. Mandibular Plane to FH. dg. dg. * Mandibular Arc. dg. dg -. ** O C RMO

5 RMO Diagnostic Services RMO, Inc. ()- Post Office Box ()- Canoga Park, CA - EXTRACTION RMO Case Number: X-Ray date: // Age:. Reference: G T E Dr. Training RMO Run date: // Birthdate: // Sex: Male ========== G U I D E T O A L T E R N A T I V E T R E A T M E N T P L A N N I N G ========== Probability of Lower Third Molar Facial Pattern -. C.D. (based on space available) Vertical Description DOLICHOFACIAL Impaction Eruption Eruption Questionable Functional Auxiliary Appliances Function Headgear HIGH PULL LIGHT FORCES for ANCHORAGE.%.%.% Activator NEUTRAL Palate Separation N/A - No Arch and Frontal data Convexity Objective Reduce. mm Lower Arch Length Discrepancy (original arch). mm Excess Including useable leeway (E) space Required Tooth Effect on Resulting * * * L O W E R A R C H * * * Movement Arch Length Discrepancy Lt:. mm Bwd. Lower Incisor to Ideal Rt:. mm Bwd.. mm Decrease. mm Shortage Buccal Expansion to Ideal Arch Form. mm Increase. mm Shortage Incisors & Convexity to Cephalometric Limit. mm Fwd.. mm Increase. mm Shortage Lower Molar Distal Movement. mm. mm Increase. mm Shortage * * * U P P E R A R C H * * * Movement of First Molar (non-ext.) Required for Class I. mm Distal Resulting Expected Space for nd & rd Molars at Maturity (non-ext.). mm Required Space for nd Molars. mm to. mm Required Space for nd & rd Molars. mm to. mm *** Indicated Treatment using Dr's Personalized Decision Program *** Upper Arch EXTRACTION Lower Arch EXTRACTION Lower Incisor Backward. mm Buccal Expansion Gain. mm Lower Molar Movement Forward. mm Teeth Sizes: L L L L L L R R R R R R TOTAL SUM OF INCISOR NORM Lower Arch : MM. Prepared for the doctor and subject to the terms and conditions appearing on our current orderform

6 RMO Diagnostic Services RMO, Inc. ()- Post Office Box ()- Canoga Park, CA - EXTRACTION RMO Case Number: X-Ray date: // Age:. Reference: W R E Dr. Training RMO Run date: // Birthdate: // Sex: Male W O R K U P R A T I O N A L E ====================== ORIGINAL CONDITION ====================== ================ REASONS FOR LOWER ARCH DECISION =============== Facial pattern: -. CD - Dolichofacial Mandibular Arch Length Analysis Lower arch form: Normal. Initial Conditions A. Original Arch Length. mm shortage Missing permanent teeth: R L B. Useable Leeway Space. mm C. Total Initial Discrepancy(A+B). mm excess Lower arch length discrepancy (ALD). mm SHORTAGE. Maximum Permissible Arch Length Leeway space. mm --- Increase(Within Doctor Limits) Maximum use of leeway space. mm Due To: Total arch length discrepancy. mm EXCESS D. Lower Incisor Repositioning. mm decrease E. Buccal Expansion. mm increase ======================= COMPUTER DECISION ====================== F. Lower Molar Distal Movement. mm based on Dr. Training's individualized standards G. Total Possible Increase (D+E+F). mm decrease UPPER ARCH: EXTRACTION. Resultant Arch Length Discrepancy. mm shortage Considering All Possible Arch Convexity change REDUCE. mm Length Increases (C+G). Resultant Computer Decision Extraction LOWER ARCH: EXTRACTION. Work-Up Presented Is EXTRACTION Lower incisor BACKWARD. mm Extracted teeth Buccal Expansion GAIN. mm ================ REASONS FOR UPPER ARCH DECISION =============== R L Lower molar FORWARD. mm. Convexity change. mm reduce ===================== AUXILIARY APPLIANCES =====================. Upper incisor tip movement for. mm backward overbite/overjet ideal to lower Activator: NEUTRAL. First molar movement required. mm forward Palate separation: N/A - No Arch and Frontal data Headgear: HIGH PULL. First molar movement clinical limit. mm backward LIGHT FORCES for ANCHORAGE. Work-Up Presented Is EXTRACTION ======================== POST TREATMENT ======================== =========================== COMMENTS =========================== Pentamorphic arch form: Normal Arch length relapse:. mm Lower third molar probabilities (based on space available) Impaction: % Marginal: % Functional: % Prepared for the doctor and subject to the terms and conditions appearing on our current orderform

7 EXTRACTION M. SEQUENCES WORKSHEET // PHASE I TREATMENT EXTRACTION RMO U P P E R A R C H ACTIVITY DESCRIPTION MONTHS NOTES PROGRESS POST TX CORRECT CONVEXITY INTRUDE RETRACT INCISORS L O W E R A R C H ACTIVITY DESCRIPTION MONTHS NOTES PROGRESS POST TX EXTRUDE O C RMO

8 EXTRACTION M. SEQUENCES WORKSHEET // PHASE II TREATMENT EXTRACTION RMO U P P E R A R C H ACTIVITY DESCRIPTION MONTHS NOTES PROGRESS PROGRESS POST TX EXTRACT RETRACT ADVANCE CLOSE SPACE -- ALIGN/LEVEL BUCCAL SEGS IDEAL ARCH FINAL ARCH L O W E R A R C H ACTIVITY DESCRIPTION MONTHS NOTES EXTRACT RETRACT AND/OR PROGRESS RETRACT RETRACT INCISORS PROGRESS ADVANCE POST TX ALIGN/LEVEL BUCCAL SEGS CLOSE SPACE -- IDEAL ARCH FINAL ARCH O C RMO

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11 EXTRACTION M. // EXTRACT R EXTRACTION TREATMENT DESIGN L PT. A MOVEMENT MAXILLARY CHANGE BACKWARD. MM CHANGE IN MAXILLARY TEETH RMO UPPER MOLAR CHANGE CHANGE IN MANDIBULAR TEETH LOWER INCISOR LOWER MOLAR BWD(RT). FWD. MM MM WORKUP PRESENTED Upper arch: EXTRACTION Lower arch: EXTRACTION MISSING PERMANENT TEETH MANDIBULAR GROWTH R L R L COMMENTS ORIGINAL GROWTH W/O TREATMENT TREATMENT OBJECTIVE O C RMO

12 RMO Diagnostic Services RMO, Inc. ()- Post Office Box ()- Canoga Park, CA - EXTRACTION RMO Case Number: X-Ray date: // Age:. Reference: S A Dr. Training RMO Run date: // Birthdate: // Sex: Male S T E I N E R A N A L Y S I S ======================= BEFORE TREATMENT ======================= Factor Measured Clinical Clinical Value Norm Deviations From Norm SNA. dg. dg -. * SNB. dg. dg -. ** ANB. dg. dg. SND. dg. dg -. ** A to NA. mm. mm. A to NA. dg. dg. B to NB. mm. mm. * B to NB. dg. dg. A to B. dg. dg -. * OCC.PL/SN. dg. dg. *** Prepared for the doctor and subject to the terms and conditions appearing on our current orderform

13 O C RMO EXTRACTION M. // STEINER ANALYSIS RMO. mm. mm. mm. mm -. mm AP TO : WITS :. MM -. MM