{
"Id": 3281,
"Name": "Jones, Graham EF 24-Jun-2020",
"Url": "/duplicate-cases-test/jones-graham-ef-24-jun-2020",
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"TemplateName": "Case Template",
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"Enabled": true,
"ReleaseDate": "2021-12-30T17:34:00",
"ExpiryDate": "9999-12-31T23:59:00",
"SiteSearchKeywords": [],
"Description": "High angle, blocked out maxillary canines.",
"Weighting": 0,
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"CreatedByMemberId": "1764",
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"FNLPicturesIntraoralRight": "",
"PG1PicturesSponsorComments": "",
"PG2PicturesIntraoralFrontComment": "",
"SORPatientDOB": "2008-11-28T00:00:00",
"SORAffiliateName": "Graham Jones",
"FNLPicturesFacialSmilingComment": "",
"PTXPicturesIntraoralMand": "/media-files/2365/2783/2783-1640914729860-8-2021-12-30-17-38-51.jpg",
"SORSponsorName": "Perry Ormiston",
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"SORPatientGender": "F",
"COVClassification": "Cl I",
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"COVProposedTreatmentSummary": "Full fixed appliances and high-pull headgear to maintain overjet and overbite while redistributing and creating more upper space for blocked-out upper canines.\r\n",
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"COVAppliance": "0.022” self-ligating metal brackets on the upper and lower. Combo Andrews/MBT prescription",
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"COVCaseDiagnonsisDental2": "• Convex facial profile with retrognathic maxilla and mandible \r\n• Long lower facial 1/3\r\n• Normal symmetry \r\n• Lips competent at rest, however there is some mentalis strain noted\r\n• Normal maxillary incisor show at rest. ",
"COVCaseHistory": "The patient presented as a 11 year 6 month old female with no notable medical concerns. The patient was initially referred by the dentist for upper and lower crowding. I had previously treated her with maxillary expansion and maxillary high-pull headgear for maxillary constriction and a Class II overjet with a high mandibular plane angle. Cooperation with prior treatment had been good. The main concern for her was continued crowding.",
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"COVCaseDiagnosisSkeletal": "• Slight Class III pattern with a high mandibular plan angle. \r\n• Long lower 1/3 facial height.",
"FNLPicturesFacialProfileComment": "",
"COVCaseDiagnosisDental": "• Slight Class III molar and premolar relations. \r\n• Minimal anterior overjet\r\n• Shallow overbite. \r\n• Upper and lower crowding with insufficient space for eruption of maxillary incisors. \r\n• Upright lower incisors and slightly proclined upper incisors\r\n• Deep Curve of Wilson at the lower premolars.\r\n",
"COVCaseTreatmentPlanAlternative": "Orthognathic surgical advancement of the maxilla and mandible to reduce retrusion and mentalis strain was discussed, but declined. Post-treatment, a genial advancement could be considered to improve mentalis strain if desired.",
"COVCaseTreatmentPlan": "Full upper and lower brackets (0.022”slot). Initial use of maxillary high-pull headgear during leveling and aligning stages to control molar vertical eruption and proclination of the maxillary incisors. Elastics and coil springs to create space for maxillary canines. Some lower transverse dental uprighting (decrease Curve of Wilson). Utilization of lower right Leeway space for alignment of the lower right canine. Wait for eruption of the maxillary canines to approximate the level of the maxillary occlusal plane prior to bonding them in order to avoid proclining the maxillary incisors and bite opening. ",
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"COVCaseTreatmentObjectives": "General: \r\n• Class I molar and canine relations\r\n• 1mm overjet and 20-25% overbite relations\r\nMaxilla: \r\n• Create space for maxillary canines without excessive upper incisor proclination or bite opening\r\n• Control molar vertical eruption to mitigate long lower facial height and convexity. \r\nMandible: \r\n• Utilize lower right Leeway space for resolution of crowding\r\n• Upright lower premolars (reduce Curve of Wilson)\r\nFacial: \r\n• Avoid clockwise rotation of the mandible in order to avoid an increase in facial convexity and lip and mentalis strain\r\n• Take care to not increase the lower facial 1/3.\r\n",
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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": "0-3mm",
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"CSMDiagnosisCrowding": "Crowding 5-7mm",
"CSMDiagnosisAngle": "Cl I",
"CSMDiagnosisANB": "1-3°",
"CSMDiagnosisSNMP": "more than 28°",
"CSMDiagnosis1MP": "81-85°",
"CSMDiagnosis": [
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