A Dix new pt

Hmmm....

tempt4d to say just align and a little IPR ..... in view of the history....think she may need exts but would be be wary of that....


lower C Line off quite a way to right... I d accept that

also warn about de vitalisation and decal...

https://www.dropbox.com/sh/q3bktl2qu90x9m0/AACrkeE5AyLI2Edp7jhEB0sAa?dl=0

The patient does not like how wonky her teeth are - so she is an extremely high caries risk as she has had several RCT's and lots of fillings and is only 13 - my colleague and I have been trying to stabilise her for over 2 years and since her grandmother took over the care of the child things have really improved both with caries and OHI. but the teeth are a mess.

The patient is a moderate class 2 skeletal pattern, with a high FMPA and increased FH. The lips are competent and full with an obtuse nasiolabial angle.

The incisors are a class 1 with an OJ of about 2-3mm and an average OB. - the centre line is to the left in the upper arch by about 2-3mm

There is mild crowding on the lower labial segment and on the upper labial segment . The upper and lower buccal segments are aligned. The UL2 is displaced around 5-6mm buccally and the LL3 is displaced buccally and is completely out of the arch.

Molars on the LHS are class 1 and on the RHS are class 2. The canines on the LHS are class 1 and RHS are class 2.

I was thinking that I could treat this as a non-extraction case and then upper and lower fixed with class 2 elastics on the RHS only - correct the class 2 canines and bring the centre line back round???