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Patient Name

Male/Female
Age XX Year
Patient Main Concern :
Patient wanted to correct his/her anterior smile display, change his/her
profile, and make implants on 46.......etc etc...
right click on the picture,
then click “change picture”
right click on the picture,
then click “change picture”
Landmark Value

SNA

SNB

ANB

IMPA

Jarabak Ratio

etc

etc
NLA = 91 degree
Retrognated
Mandible
D I A G N O S I S
SKELETAL
CLASS II
DENTAL
CLASS II
OVERBITE
- 5mm
OVERJET
12mm
DIAGNOSIS EXAMPLE
FACIAL PROFILE CONVEX/CONCAVE/PLANE
SKELETAL CLASSIFICATION CLASS I/CLASS II/CLASS III
DENTAL CLASSIFICATION/DIVISION CLASS I/CLASS II (DIV 1/DIV2)/CLASS III
GROWTH REMAINING (CVM) INDEX CVM 1/2/3/4/5/6
VERTICAL ANGLE CLASSIFICATION NORMAL/LOW/HIGH
OVERJET XX mm
OVERBITE Xx mm / 1 per x
MIDLINE NORMAL / XX mm Shifted to LEFT/RIGHT
FUNCTIONAL PROBLEM AIRWAY/BREATHING/CHEWING/SPEAKING
TMJ ANALYSIS CLICKING/SHIFTING etc
SMILE EVALUATION and INCISOR DISPLAY CURVE/FLAT/OTHERS
FACIAL BALANCE SYMMETRY/ASSYMMETRY
TREATMENT PLAN 1
Orthodontic System Fixed ROTH/MBT/DAMON/Empower American Ortho/aligner

Prescription ROTH/MBT/LOW TORQUE/HIGH TORQUE on.....

Bracket Slot 0.022

Initial Wire Cuniti 0.014 Upper and Lower

Auxilliaries
TREATMENT PLAN 1
PRE TREATMENTS Extraction of.....
Odontectomy of...
Frenectomy ... etc
Initial Phase Put Bracket Up to 7s
Cuniti .014 upper and lower
Open Space using OCS between 13 and 11
Second Phase Change wire to .014 x .025 upper and lower
Class II Elastic from 13 to 46 and 23 to 36

Final Phase Finishing Wire Upper .019 x .025 SS


Finishing wire Lowet .017 x .025 TMA
Torquing Spring etc etc
Retention Phase Fixed lingual retainer up to 1 year
TREATMENT PLAN 2
Orthodontic System Fixed ROTH/MBT/DAMON/Empower American Ortho/aligner

Prescription ROTH/MBT/LOW TORQUE/HIGH TORQUE on.....

Bracket Slot 0.022

Initial Wire Cuniti 0.014 Upper and Lower

Auxilliaries
Problem Findings
I found that 13 wont move due to insuficient space ... ... ...