Health History: • wnl facial Pattern



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Lastname, Firstname

XX yrs. X mos. File #Xxxxxx




Chief Complaint: “A little crooked"
Health History:

• WNL
Facial Pattern:



Profile:

Nasolabial Angle:

Labiomental fold:

Chin:

Lips:

Muscle Strain:

Frontal Symmetry:

Mx. Incisor Display at Rest:

Mx. Incisor Display at Smile:

Gingival Display on Smile:



Teeth Present:



R L


Antero-Posterior Relationship:

Angle’s Classification:

Overjet:

Arch Symmetry:

Maxilla:

Mandible:




Anterior Crossbites:



R L

Functional Shift:


Vertical Relationship:

Overbite:

Curve of Spee:

Mandibular Plane Angle:

Open Bite:
Transverse Relationship:


Midlines:

Maxilla:

Mandible:

Posterior Crossbites:


R L


Arch Perimeter/Dentition:

Space Assesment:

Maxilla:

Mandible:

Arch Shape:

Maxilla:

Mandible:
Missing:



R L

Spaces:





R L
Rotated:

R L

Caries: (clinical or radiographic)





R L

Ankylosed:





R L

Bolton Analysis:


Occlusion:

CR/CO Discrepancy:

Shift:

A/P:

Vertical:

Transverse:


Growth Expected:


Soft Tissue/Hygiene:

Hygiene:

Frenum Problems:

Attached Gingiva:

Spot Probings:


Temporomandibular Joint:

History of Pain/Trauma:

Deviations:

Sounds:

Range of Motion:

Max. Opening:

Lateral Excursions:

-Right:

-Left:

Protrusive:


Habits:

Thumb/Finger Sucking:

Bruxism/Clenching:
Behavior:


Cephalometric Analysis





ANB: ° (2)



SNA: ° (81)

SNB: ° (79)

%NH: % (43) 1 NA: ° (22) 1 NA: mm (4)






YSN: °(67) 1 NB: ° (25) 1 NB: mm (4)

1–1: ° (135) OJ: mm (2)

OB: mm (3)
MPSN: ° (32) PgNB: mm (3)

MPFH: ° (24)



1 MP: ° (91)

Harvold Analysis: female



Measured Mean (12 yr) Mean (16 yr)

Maxillary Unit (mm) 90 (SD=4.07) 93 (SD=3.45)

Mandibular Unit (mm) 113 (SD=5.2) 119 (SD=4.44)

LFH (mm) 62 (SD=4.36) 65 (SD=4.67)



Unit Difference (mm) 23 (16

Wits Analysis : (AO – BO = 0 ± 1.75) =



Radiographic/Cephalometric Findings:













Cephalometric Analysis



Area of Study



Measurements



Range



Mean


Patient



Maxilla to

SNA

75–87

81





Position of Maxilla is:

Cranial Base

NA – FH

84–96

90




Protrusive Normal Retrusive

Mandible to

SNB

72–87

79





Position of Mandible is:

Cranial Base

SN – Pg

72–88

80




Prognathic Normal Retrogn




FH–NPg (Facial angle)

82–95

87







Maxilla – Mandible

ANB

-1–5

2




Skeletal: Class I II III




SN – MP

22–42

32





Mandibular Plane Angle:




FH – MP

18–30

24




High Normal Low

Vertical

Y axis – SN

61–72

67





Mand growth direction:

Relations

Y axis – FH

53–66

59




Vertical Normal Horizontal




UAFH (N–pal pl) mm










Lower Anterior Face Height:




Total FH (N–Me) mm










Short Normal Long

% nasal height

UAFH/ total FH Ratio

40–46%

43%







Chin

Pog - NB (mm)

2–5

3mm




Prominent Normal Recessive

Maxillary

U1 to SN (deg.)

92–114

103




Pos'n of Max Incisors is:

Incisors

U1 to NA (deg.)

3–31

22




Proclined Normal




U1 to NA (mm)

-2–6

4mm




Upright Retroclined

Mandibular

L1 to NB (deg.)

8–40

25 7





Pos'n of Mand Incisors is:

Incisors

L1 to NB (mm)

1–10

4mm



Proclined Normal






L1 - MP (deg)

81–97

91




Upright Retroclined

Max. to Mand.

Interincisal Angle

130–150

135





Inter-incisal Relationship:

Incisors

Overjet (mm)

1–4

2



Open Normal Deep






Overbite (mm)

1–6

3




Edge–Edge Neg Overjet

Facial Pattern

Upper lip – E-plane




4




Lips:
Retrusive Norm Protrusive




Lower lip – E-plane




2








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