CASE STUDY By Ron Austin, DDS C ase reports are just that, a report on a particu-lar orthodontic case. With that said I hope you will find this report interesting and thought provoking. Justin is a 14 year old male in apparently good health. He presented to my office for an orthodontic evaluation which revealed a disfigured smile. His chief compliant was, “I want my front teeth fixed”. (Fig. 1) His brother Jason was also at my office for an orthodontic evaluation. Being a sibling, Jason stated, “We will need a miracle worker for my brother”. Fig. 3 Fig. 4 Fig. 1 Fig. 2 The intra-oral exam revealed severe anterior crowd-ing with a Class II molar relationship. (Fig. 2 & 3) His cuspid relationship was difficult to evaluate because of the severe crowding but it appeared to also be Class II. He had an overjet of 10mm and an overbite of 30%. Justin had good periodontal health with the excep-tion of mild gingivitis. His TMJ appeared healthy but he did report having occasional popping without pain. The extra-oral exam showed a long face, lip incom-petence, 5-8 mm of gingival display, a retruded chin and a convex profile. (Fig.4) His upper midline was on 20 May/June 2012 JAOS
Journal of the American Orthodontic Society May-June 2012: Page 20
