{
"Id": 3266,
"Name": "Jones, Graham AW 17-Feb-2020",
"Url": "/duplicate-cases-test/jones-graham-aw-17-feb-2020",
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"UrlSlug": "jones-graham-aw-17-feb-2020",
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"TemplateName": "Case Template",
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"Enabled": true,
"ReleaseDate": "2021-12-30T17:21:00",
"ExpiryDate": "9999-12-31T23:59:00",
"SiteSearchKeywords": [],
"Description": "Impacted lower right canine, surgically uprighted (autotransplantation)",
"Weighting": 0,
"DisableForSiteSearch": false,
"CreatedByMemberId": "1764",
"ItemCategories": [],
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"Author": 0,
"Author_Name": "",
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"FNLStudyCastsFacialAdditionalOptional": "",
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"PG2StudyCastsFacialAdditionalOptional": "",
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"PG2PicturesIntraoralAdditionalOptionalComment": "",
"FNLPicturesIntraoralRight": "",
"PG1PicturesSponsorComments": "",
"PG2PicturesIntraoralFrontComment": "",
"SORPatientDOB": "2005-05-14T00:00:00",
"SORAffiliateName": "Graham Jones",
"FNLPicturesFacialSmilingComment": "",
"PTXPicturesIntraoralMand": "/media-files/2365/2781/2781-1640913941237-8-2021-12-30-17-25-42.jpg",
"SORSponsorName": "Perry Ormiston",
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"SORPatientGender": "M",
"COVClassification": "Cl I",
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"COVProposedTreatmentSummary": " Full orthodontic treatment with surgical uprighting of the impacted lower right canine. Bite opening via leveling of the Curve of Spee",
"PG1PicturesIntraoralMandComment": "",
"COVAppliance": "0.022” self-ligating metal brackets on the upper and lower. Combo Andrews/MBT prescription",
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"COVCaseDiagnonsisDental2": "•Straight facial profile with proportionate facial 1/3s. \r\n• No asymmetries noted. \r\n• Normal maxillary incisor display\r\n• Lips competent at rest.",
"COVCaseHistory": "The patient presented as a 14 year 9 month old male with no notable medical concerns. He was referred by his general dentist because of an impacted lower right canine. His main concern was the impacted canine. Transmigration of mandibular canines has an unknown etiology but may be associated with genetic factors and/or positional development of the dental follicle.",
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"FNLPicturesIntraoralFront": "",
"COVCaseDiagnosisSkeletal": "• Class II skeletal relationship with maxilla and mandible both forward relative to cranial base. \r\n• Proclined upper and lower incisors. \r\n• Lower incisor root position and B-Point may be affected by impacted lower canine.\r\n\r\n",
"FNLPicturesFacialProfileComment": "",
"COVCaseDiagnosisDental": "• Class I molar and canine relations.\r\n• Deep bite.\r\n• Impacted lower right mandibular canine facial to the roots of the lower right incisors. \r\n• Retained lower right primary canine. \r\n• Maxillary spacing and mild mandibular crowding. \r\n•Deep Curve of Spee. ",
"COVCaseTreatmentPlanAlternative": "Extraction of the impacted lower right canine as well as two upper premolars and one lower left premolar was discussed as an alternative.",
"COVCaseTreatmentPlan": "Full fixed orthodontic appliances (0.022” slot) would be placed along with bite-opening build-ups on the lower molars. The lower right primary canine would be extracted and the lower right permanent canine would be surgically uprighted by a periodontist and root canal treated within 3-4 weeks after uprighting. After 3-4 weeks, orthodontic force can be applied to the lower right canine. A high torque bracket will be used on the lower right canine to apply lingual root torque. Negative torque brackets will be used to apply facial root torque on the lower incisors. Lower interproximal reduction will be used to achieve space for the lower right canine and for lower incisor uprighting. Differential bracket placement and elastics will be used to extrude lower premolars to level the lower Curve of Spee for bite opening.\r\n",
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"TXTPreTreatmentDate": "2020-02-17T00:00:00",
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"COVCaseTreatmentObjectives": "General: \r\n• Reduce overjet via bite opening and upper space closing. \r\n• Class I canine and molar relations. \r\nMaxillary: \r\n• Close upper space via retraction of the maxillary incisors. \r\nMandibular: \r\n• Align the impacted mandibular right canine. \r\n• Improve deep bite to normal overbite relation via leveling the Curve of Spee. \r\n• Upright lower incisors if possible, using interproximal reduction and applying buccal root torque to the lower incisors. \r\nFacial: \r\n• Relative forward growth of the mandible occurs during peak growth in most patients. Significant mandibular growth is anticipated in this patient due to his age, so convexity is expected to be reduced.",
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"SUBPTXreadyforsponsor": true,
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"COVProposedRetentionandTiming": "Bonded lower 0.026” steel retainer bonded only to teeth #22 and #27 and a full-coverage thermoplastic upper retainer along with an overlaying lower thermoplastic retainer. The upper retainer is worn full-time for 2 weeks then nightly indefinitely thereafter while the lower removable retainer is worn only at night. ",
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"CSMDiagnosisOverjet": "3-5mm",
"CSMDiagnosisOverbite": "3-5mm",
"CSMDiagnosisAnteriorOpenbite": "n/a",
"CSMDiagnosisLateralOpenbite": "n/a",
"CSMDiagnosisCrowding": "Crowding 2-4mm",
"CSMDiagnosisAngle": "Cl I",
"CSMDiagnosisANB": "4-6°",
"CSMDiagnosisSNMP": "21-24°",
"CSMDiagnosis1MP": "more than 100",
"CSMDiagnosis": [
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