CASE: HISPANIC SAMPLE Dr. TRAINING F (LA) Latin AGE: 10.5 VISUAL NORMS RMO X: 06/23/ R: 02/21/2003 MISSING PERMANENT TEETH RMO 2003
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1 O C RMO CASE: HISPANIC SAMPLE Dr. TRAINING F (LA) Latin AGE:. X: // - R: // MISSING PERMANENT TEETH VISUAL NORMS RMO R L
2 RMO Diagnostic Services RMO, Inc. ()- Post Office Box 7 ()7- Canoga Park, CA -7 HISPANIC SAMPLE RMO Case Number: X-Ray date: // Age:. Reference: C C D Dr. Training RMO Run date: // Birthdate: unknown Sex: Female 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 -.7 Canine Relation -. mm -. mm. # Lower Facial Height. dg 7. dg -. * Incisor Overjet. mm. mm. Present Patient Height. in 7. in 7 Incisor Overbite. mm. mm. * Posterior face height 7. mm Mand Incisor Extrusion.7 mm. mm.7 Anterior face height. mm # Interincisal Angle. dg. dg. Posterior/Anterior ratio.7 % Saddle Angle. dg. dg. * ====================== DENTAL TO SKELETON ====================== Condylion-A point. mm 7. mm. 7 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 7. mm. mm.7 # B Inclination to A-Po. dg. dg. * ======================== JAW TO CRANIUM ======================== A Inclination to A-Po 7. dg. dg -. * 7 Occlusal Plane to Xi. mm. mm. # Facial Depth. dg. dg. Inclination of Occl Plane 7. dg. dg -. # Facial Axis.7 dg. dg.7 B Inclination to FH. dg. dg -. ** # Maxillary Depth. dg. dg -. 7 Maxillary Height. dg. dg -. =========================== ESTHETICS ========================== Palatal Plane to FH. dg. dg -. # Mandibular Plane to FH. dg. dg -. Lower Lip to Esthetic Plane.7 mm -. mm. 77 Ba-N-A. dg. dg.7 * Upper Lip Length. mm. mm -. 7 S-N-A. dg. dg. Lip Embrasure to Occl Plane -. mm -. mm -. 7 S-N-B 77. dg. dg -. NasoLabial Angle. dg. dg. A-N-B Difference. dg. dg. * 7 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 7. %. %.7 Cranial Length Anterior. mm. mm. * Linder-Aronson AD 7. mm. mm. Ramus Height (CF-Go). mm. mm -. 7 Linder-Aronson AD. mm. mm.7 Ramus Xi Position 7. dg 77. dg -. Distance PTV to Adenoid. mm. mm. Porion Location (Por to PTV) -. mm -.7 mm -. * # Mandibular Arc. dg. dg.7 Corpus Length. mm.7 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 7 ()7- Canoga Park, CA -7 HISPANIC SAMPLE RMO Case Number: X-Ray date: // Age:. Reference: I N F O Dr. Training RMO Run date: // Birthdate: unknown Sex: Female 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: LATIN SAMPLE ========================== HORIZONTAL ========================== Doctor name: TRAINING Age:. Severe Class II malocclusion X-Ray date: // due to upper & lower molar RMO Case Number: RMO Run date: // ==================== MISSING PERMANENT TEETH =================== =========================== VERTICAL =========================== R L Skeletal Deep Bite due to the mandible & palate ======================= 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 =========================== Cl Lt/Cl Rt, diagnosis of Rt 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: HISPANIC SAMPLE Dr. TRAINING F (LA) Latin AGE:. X: // - R: // MISSING PERMANENT TEETH TRACING BEFORE TREATMENT RMO R L / / / / / / /7 / / / / MEASURED VALUE/NORM R L SIGNIFICANT CONSIDERATIONS CONDITION REASON Severe Class II malocclusion due to upper & lower molar Skeletal Deep Bite due to the mandible & palate Adenoid blockage of the airway? Probably not SHORTAGE. MM LEEWAY. MM FACIAL PATTERN: MILD BRACHYFACIAL # FACTORS MEASURED VALUE NORM CLINICAL DEVIATION Interincisal Angle. dg. dg. Convexity. mm. mm -.7 Lower Facial Height. dg 7. 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.7 dg. dg.7 Maxillary Depth. dg. dg -. Mandibular Plane to FH. dg. dg -. Mandibular Arc. dg. dg.7 O C RMO
5 RMO Diagnostic Services RMO, Inc. ()- Post Office Box 7 ()7- Canoga Park, CA -7 HISPANIC SAMPLE RMO Case Number: X-Ray date: // Age:. Reference: G T N Dr. Training RMO Run date: // Birthdate: unknown Sex: Female ========== 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 MILD BRACHYFACIAL Impaction Eruption Eruption Questionable Functional Auxiliary Appliances Function Headgear NOT INDICATED 7.%.%.% 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 Excess Buccal Expansion to Ideal Arch Form. mm Increase.7 mm Excess Incisors & Convexity to Cephalometric Limit. mm. mm Increase Not Reqd Lower Molar Distal Movement. mm. mm Increase Not Reqd * * * 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 NON-EXTRACTION Lower Arch NON-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 7 ()7- Canoga Park, CA -7 HISPANIC SAMPLE RMO Case Number: X-Ray date: // Age:. Reference: W R N Dr. Training RMO Run date: // Birthdate: unknown Sex: Female 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 - Mild Brachyfacial Mandibular Arch Length Analysis Lower arch form: Narrow ovoid. 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 increase 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 increase UPPER ARCH: NON-EXTRACTION. Resultant Arch Length Discrepancy. mm excess Considering All Possible Arch Convexity change NONE Length Increases (C+G). Resultant Computer Decision Non-Extraction LOWER ARCH: NON-EXTRACTION. Work-Up Presented Is NON-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 ===================== AUXILIARY APPLIANCES =====================. Upper incisor tip movement for. mm backward overbite/overjet ideal to lower Activator: NEUTRAL. First molar movement required. mm backward Palate separation: N/A - No Arch and Frontal data Headgear: NOT INDICATED. First molar movement clinical limit. mm backward. Work-Up Presented Is NON-EXTRACTION ======================== POST TREATMENT ======================== =========================== COMMENTS =========================== Pentamorphic arch form: Narrow ovoid Arch length relapse:. mm Cl Lt/Cl Rt, diagnosis of Rt Lower third molar probabilities (based on space available) Impaction: 7 % Marginal: % Functional: % Prepared for the doctor and subject to the terms and conditions appearing on our current orderform
7 RMO SEQUENCES WORKSHEET PHASE I TREATMENT HISPANIC SAMPLE F. // NON-EXTRACTION U P P E R A R C H ACTIVITY DESCRIPTION MONTHS NOTES L O W E R A R C H ACTIVITY DESCRIPTION MONTHS NOTES DISTALIZE INTRUDE 7 7 INTRUDE 7 7 POST TX RECORDS POST TX RECORDS O RMO C
8 HISPANIC SAMPLE F. SEQUENCES WORKSHEET // PHASE II TREATMENT NON-EXTRACTION RMO U P P E R A R C H ACTIVITY DESCRIPTION MONTHS NOTES PROGRESS RECORDS POST TX RECORDS RETRACT AND/OR RETRACT ALIGN/LEVEL BUCCAL SEGS 7 IDEAL ARCH FINAL ARCH 7 L O W E R A R C H ACTIVITY DESCRIPTION MONTHS NOTES RETRACT INCISORS ALIGN/LEVEL BUCCAL SEGS PROGRESSIDEAL ARCH RECORDS POST TX RECORDS FINAL ARCH 7 7 O C RMO
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11 HISPANIC SAMPLE F. // NON-EXTRACTION TREATMENT DESIGN MAXILLARY CHANGE CHANGE IN MAXILLARY TEETH RMO EXTRACT R L PT. A MOVEMENT NONE. MM UPPER MOLAR CHANGE CHANGE IN MANDIBULAR TEETH LOWER INCISOR LOWER MOLAR BWD(LT). FWD. MM MM WORKUP PRESENTED Upper arch: NON-EXTRACTION Lower arch: NON-EXTRACTION MISSING PERMANENT TEETH MANDIBULAR GROWTH R L R L COMMENTS Cl Lt/Cl Rt, diagnosis of Rt ORIGINAL GROWTH W/O TREATMENT TREATMENT OBJECTIVE O C RMO
12 RMO Diagnostic Services RMO, Inc. ()- Post Office Box 7 ()7- Canoga Park, CA -7 HISPANIC SAMPLE RMO Case Number: X-Ray date: // Age:. Reference: S A Dr. Training RMO Run date: // Birthdate: unknown Sex: Female 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 77. dg. dg -. ANB. dg. dg. * SND 7.7 dg 7. dg -. A to NA. mm. mm -. A to NA. dg. dg -. B to NB. mm. mm. B to NB.7 dg. dg.7 * 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 HISPANIC SAMPLE F. // STEINER ANALYSIS RMO 7. mm. mm. mm 7. mm. mm AP TO : WITS :. MM -. MM
14 Rocky Mountain Associates International, Inc Post Office Box 7 Canoga Park, California -7 Vanoven Street - Suite Canoga Park, California -7 ()- ()7- RMO Diagnostic Services RMO, Inc. February, RMODS Case #: Non-extraction Patient: HISPANIC SAMPLE Letter: ( ) Dear Dr. TRAINING: The enclosed workup calls for significant distal movement of the upper molar with minimal convexity reduction. Convexity reduction in this case could have adverse affects on the profile. We have done our best to provide you with comprehensive diagnostic information and a simulation of the likely treatment outcome. Clinical evaluation of the possibility of upper second molar impaction is advised. While a variety of approaches may be taken, some of the possibilities include: ) Light force headgear (which may cause some change at point A) ) Approaches using coil springs (e.g., Wilson distalizing modules) ) Upper arch extraction of bicuspids or second molars The chosen alternative will probably not affect the remainder of the diagnosis. If you have interesting solutions to similar cases, please let us know; other clinicians may be interested to try them. We appreciate the opportunity to be of service to you. If you have any questions, please contact one of our technical representatives.
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