CASE STUDY Fig. 3: Ceph tracing. presenting this case, the author hopes that this article will provide information that will aid the read-ers in treatment planning of their Class II patients to obtain a fuller face and more natural profile. Medical and Dental History Patient ES (Fig. 1) was seen for an orthodontic consultation. His mom's chief complaint was his flared front teeth. In addition to the flared upper incisors, the mother was informed that her son's chin position was retruded. With instruction, the patient guided his jaw anteriorly until Class I molars and a normal profile were achieved. The mother liked this new chin position. She agreed to start orthodontic treatment and records were taken. (Figs. 1-4) The patient's medical history was unremarkable and no known aller-gies or medical problems existed. Fig. 4: Initial models. The patient's dental history included exams, x-rays, prophys, sealants and one and two surface fillings, as well as extraction of several deciduous molars. overjet of 12 mm is present as well as a corresponding deep bite. The gingiva was healthy. TMJ Analysis The TMJ examination was within normal parameters and there was no history of headaches, joint dysfunction, pain, clench-ing, or grinding. Clinical examina-tion revealed no popping, click-ing, or crepitus. Clinical Findings Patient ES presents with flared upper incisors and a large overjet. Lower premolar LL4 is erupted bucally. The molars are Class II and canines are also Class II. A large www.orthodontics.com Winter 2020 33
Journal of the American Orthodontic Society Winter 2020: Page 33
