{
"Id": 3320,
"Name": "Mintenko, Rob KA 29-OCT-2018",
"Url": "/duplicate-cases-test/mintenko-rob-ka-29-oct-2018",
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"/duplicate-cases-test/mintenko-rob-ka-29-oct-2018"
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"UrlSlug": "mintenko-rob-ka-29-oct-2018",
"ParentId": 3262,
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"TemplateName": "Case Template",
"Module_Alias": "duplicatecasestest",
"Module_ID": 3262,
"Enabled": true,
"ReleaseDate": "2021-10-24T18:52:00",
"ExpiryDate": "9999-12-31T23:59:00",
"SiteSearchKeywords": [],
"Description": "Non-growing patient with missing #16+46 resulting in a class II subdivision right malocclusion with minimal incisor display on smiling",
"Weighting": 0,
"DisableForSiteSearch": false,
"CreatedByMemberId": "1801",
"ItemCategories": [],
"ItemCategoryIdList": [],
"ItemTags": [],
"Author": 0,
"Author_Name": "",
"Author_Url": "",
"ABORARightTop7": "",
"FNLStudyCastsFacialAdditionalOptional": "",
"PG1StudyCastsFacialAdditionalOptional": "",
"PG2StudyCastsFacialAdditionalOptional": "",
"PTXStudyCastsFacialAdditionalOptional": "",
"FNLStudyCastsFacialAdditionalOptionalcomment": "",
"PG1StudyCastsFacialAdditionalOptionalcomment": "",
"PG2StudyCastsFacialAdditionalOptionalcomment": "",
"PTXStudyCastsFacialAdditionalOptionalcomment": "",
"PG2PicturesIntraoralAdditionalOptionalComment": "",
"FNLPicturesIntraoralRight": "/media-files/2365/2713/2713-1635127400178-27-2021-10-24-19-07-39.jpg",
"PG1PicturesSponsorComments": "",
"PG2PicturesIntraoralFrontComment": "",
"SORPatientDOB": "1999-06-10T00:00:00",
"SORAffiliateName": "Rob Mintenko",
"FNLPicturesFacialSmilingComment": "There is now an appropriate amount of maxillary incisor display on smiling that helps form a consonant smile arc",
"PTXPicturesIntraoralMand": "/media-files/2365/2713/2713-1635127029723-8-2021-10-24-18-57-57.jpg",
"SORSponsorName": "Todd Moore",
"ABOOCLingualSurfaceL6": "",
"PG1PicturesIntraoralMax": "",
"SORPatientGender": "F",
"COVClassification": "Cl II subdivision",
"PG2PicturesFacialProfile": "",
"COVProposedTreatmentSummary": "Comprehensive orthodontic treatment involving a non-surgical plan, starting non-extraction (re-evaluating in 6-10 months for extraction of #14, 24 and 34), U/L braces, class II elastics (right side), Forsus if needed (on right side), extrusion of #12-22 as much as possible, aiming to achieve a consonant smile arc and 80-100% incisal display on smiling",
"PG1PicturesIntraoralMandComment": "",
"COVAppliance": "Fixed upper and lower braces (0.022\" bracket slot size)",
"PG1PicturesFacialFrontal": "",
"COVCaseDiagnonsisDental2": "• Convex profile with mildly retrognathic mandible\r\n• Mesocephalic\r\n• Minimal incisor display on smiling",
"COVCaseHistory": "Early loss of #16 and #46 that contributed to a class II subdivision right malocclusion. History of thumb habit with excess overjet (6mm) and reverse smile arc with minimal incisor display on smiling. Mild upper crowding and moderate lower crowding with minimal overbite and severe shifting of lower midline to the right (3.5mm), likely caused by early loss of #46.",
"PTXPicturesIntraoralLeftComment": "",
"FNLPicturesIntraoralFront": "/media-files/2365/2713/2713-1635127400178-28-2021-10-24-19-07-39.jpg",
"COVCaseDiagnosisSkeletal": "• Class II skeletal with mildly retrognathic mandible\r\n\r\n",
"FNLPicturesFacialProfileComment": "",
"COVCaseDiagnosisDental": "• Class II subdivision right malocclusion\r\n• Mild upper crowding and moderate lower crowding\r\n• Minimal overbite\r\n• Reverse smile arc\r\n• Lower midline shifted 3.5mm to the right\r\n• Missing #16 and 46\r\n• Mild maxillary bolton discrepancy with slightly undersized maxillary lateral incisors",
"COVCaseTreatmentPlanAlternative": "Consideration was given to the option of an extraction based treatment plan to correct the class II subdivision right, with an alternative plan of extracting #14, 24 and 34 to help correct the excessive overjet, shift the lower midline to the left and achieve class I canine relationships on the right and left (planning to finish class II molar on the right and class I molar on the left). After reviewing progress around the 9 month mark into treatment it was decided that a high quality result could be achieved without the need for extractions.",
"COVCaseTreatmentPlan": "Full upper and lower braces were placed at initial bonding. Special attention was made to bond brackets further gingivally on the upper anterior teeth to help with extrusion of the maxillary anterior teeth to increase the overall incisor display on smiling and to achieve a consonant smile arc. Class II elastics were started early into treatment on the right side to help correct the right side class II buccal occlusion by mesializing the lower right posterior dentition and retracting the upper right canine. Use of class II elastics were used throughout a significant portion of treatment and with excellent compliance the lower midline was shifted to the left. Vertical seating elastics on the left were used at night time to prevent canting of the arch during continued class II elastics wear on the right. A mild amount of lower interproximal reduction was made to help alleviate the lower crowding, and to address the mild maxillary bolton discrepancy with slightly undersize maxillary lateral incisors. Selective interproximal reduction allowed for further shifting of the lower midline to the left to align with the upper dental midline. Both #17 and 47 substituted for the missing first molars in the first and fourth quadrants. Finishing bends helped further extrude the maxillary anterior teeth to increase the total amount of incisor display on smiling.",
"COVSponsorComments": "",
"COVACComments": "",
"ABOOCLingualSurfaceL8": "",
"TXTPreTreatmentDate": "2018-10-29T00:00:00",
"PTXPicturesIntraoralRightComment": "There was early loss of #16 and 46, which likely contributed to the right side class II malocclusion, with more distal drift of the lower right dentition compared to the upper right dentition",
"TXTPreTreatmentAge": 0,
"PG1PicturesFacialSmiling": "",
"TXTStartTreatmentDate": "2018-11-07T00:00:00",
"TXTStartTreatmentAge": 0,
"FNLPicturesSponsorComments": "",
"TXTProg1TreatmentDate": null,
"TXTProg2TreatmentDate": null,
"PG2PicturesIntraoralLeft": "",
"TXTActiveTreatmentTime": 0,
"TXTFinalTreatmentDate": "2020-12-10T00:00:00",
"PTXPicturesFacialFrontalComment": "",
"TXTFinalTreatmentAge": 0,
"TXTPostTreatmentDate": "2020-11-02T00:00:00",
"PG2PicturesFacialFrontal": "",
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"TXTPostTreatmentAge": 0,
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"PTXACComments": "",
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"PTXPicturesFacialSmiling": "/media-files/2365/2439/2439-1639525245067-2-2021-12-14-15-40-47.jpg",
"PTXPicturesFacialSmilingComment": "There is reverse smile arc with minimal display of maxillary incisors on smiling. The patient reported a past history of thumb sucking which likely contributed to this reverse smile arc",
"COVCaseTreatmentObjectives": "• Bilateral class I occlusion (substitute #17 and 47 as first molars in the first and fourth quadrants respectively)\r\n• Ideal overjet (correct excessive overjet)\r\n• Ideal overbite (increase shallow overbite)\r\n• Achieve symmetric midlines (shift lower midline to the left to be centered with upper dental midline)\r\n• Aligned upper and lower arches\r\n• 80-100% incisor display on smiling",
"PTXPicturesIntraoralLeft": "/media-files/2365/2713/2713-1635127029723-6-2021-10-24-18-57-57.jpg",
"PTXRadiographsFacialFrontal": "",
"PTXPicturesIntraoralFrontalComment": "There was early loss of #16 and 46, which likely contributed to the shifting of the lower midline to the right causing asymmetric midlines",
"PTXPicturesIntraoralRight": "/media-files/2365/2713/2713-1635127029723-4-2021-10-24-18-57-57.jpg",
"PTXPicturesIntraoralMaxComment": "#16 is missing and #17 has mesialized to be in contact with #15",
"PG1PicturesFacialProfile": "",
"PTXPicturesSponsorComments": "",
"PTXPicturesIntraoralMandComment": "#46 is missing, where #47 has partially mesialize, and the lower right premolars have partially distalized, to allow contact between #47 and 45",
"PTXPicturesACComments": "",
"PG1PicturesIntraoralMaxComment": "",
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"PTXCephTracing": "/media-files/2365/2439/2439-1636926676441-16-2021-11-14-13-56-35.jpg",
"PTXCephMandibletoCraniumFacialAngle": "80",
"PG2PicturesIntraoralRightComment": "",
"PTXCephMandibletoCraniumSNB": "85",
"PG2RadiographsLateralCeph": "",
"PTXCephMandibletoMaxillaAOC": "3",
"PTXCephMandibletoMaxillaANB": "5",
"PTXCephMandibletoMaxillaWitsA": "3",
"PTXCephMandibletoCraniumSNA": "90",
"FNLPicturesIntraoralMax": "/media-files/2365/2713/2713-1635127400178-30-2021-10-24-19-07-39.jpg",
"PTXCephMDMDIPU1L1": "131",
"PTXCephMDMDIPOverbitemm": "1",
"PTXCephMDMDIPOverjetmm": "5",
"PTXCephMDMDIPL1Apomm": "9991",
"PTXCephMDMDIPL1MnPI": 92,
"PTXCephMDMDIPL1FH": 74,
"PTXCephMDMDIPU1SN": 109,
"PTXCephChinButtonPoNBmm": 4,
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"PTXCephFacialProportionsYaxisSN": 63,
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"PTXCephFacialProportionspercentnasalheight": 48,
"PTXCephFacialProportionsMnPIFH": 13,
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"PTXCephFacialPatternHAngleHoldaway": 14,
"ABOOCLingualSurfaceR3": "",
"PTXCephFacialPatternEstheticPlRicketts": 0,
"PTXCephFacialPatternUpperLipmm": 9994,
"PTXCephFacialPatternLowerLipmm": 9994,
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"PTXEvaluationofResultsAC": "",
"SORCoSponsorName": "Bryan Hicks",
"COVAnticipatedRetentionTime": 0,
"PG1PicturesFacialProfileComment": "",
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"PG1PicturesIntraoralLeftComment": "",
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"PG1PicturesIntraoralFrontalComment": "",
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"PG1PicturesIntraoralRightComment": "",
"PG1PicturesIntraoralMand": "",
"PG1CastAffiliateComment": "",
"FNLPicturesIntraoralLeft": "/media-files/2365/2713/2713-1635127400178-29-2021-10-24-19-07-39.jpg",
"PG1CastSponsorComment": "",
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"PG1CephTracing": "",
"PG1CephMandibletoCraniumFacialAngle": 0,
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"PG1CephMandibletoMaxillaAOC": "",
"PG1CephMandibletoMaxillaWitsA": 0,
"PG1CephMandibletoMaxillaANB": 0,
"PG1CephMandibletoCraniumSNA": 0,
"PG1CephMDMDIPU1L1": 0,
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"PTXPicturesIntraoralFrontal": "/media-files/2365/2713/2713-1635127029723-5-2021-10-24-18-57-57.jpg",
"PG1CephMDMDIPL1MnPI": 0,
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"PG1CephFacialPatternUpperLipmm": 0,
"PG1CephFacialPatternLowerLipmm": 0,
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"PG2PicturesFacialProfileComment": "",
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"FNLPicturesFacialFrontal": "/media-files/2365/2439/2439-1639525389109-24-2021-12-14-15-43-10.jpg",
"FNLPicturesFacialFrontalComment": "",
"FNLPicturesFacialSmiling": "/media-files/2365/2439/2439-1639525389109-25-2021-12-14-15-43-10.jpg",
"FNLPicturesIntraoralLeftComment": "",
"FNLPicturesIntraoralFrontComment": "Symmetric midlines have been achieved in the final result (the mandibular midline was initially 3mm to the right of the maxillary midline)",
"FNLPicturesIntraoralRightComment": "",
"FNLPicturesIntraoralMaxComment": "Tooth #16 is missing, so the most distal upper right molar is actually #18 erupting",
"FNLPicturesIntraoralMand": "/media-files/2365/2713/2713-1635127400178-31-2021-10-24-19-07-39.jpg",
"FNLPicturesIntraoralMandComment": "Tooth #47 is missing, as is tooth #48, which is why there is only one molar in quadrant 4",
"FNLPicturesACComments": "",
"FNLCastAffiliateComment": "",
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"FNLCephTracing": "/media-files/2365/2439/2439-1636926854546-39-2021-11-14-13-56-35.jpg",
"FNLCephMandibletoCraniumFacialAngle": 80,
"FNLCephMandibletoCraniumSNB": 85,
"FNLCephMandibletoMaxillaAOC": "7",
"FNLCephMandibletoMaxillaANB": 5,
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"FNLCephMandibletoCraniumSNA": 90,
"FNLCephMDMDIPU1L1": 129,
"FNLCephMDMDIPOverbitemm": 1,
"FNLCephMDMDIPOverjetmm": 1,
"FNLCephMDMDIPL1Apomm": "2",
"FNLCephMDMDIPL1MnPI": 96,
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"FNLCephChinButtonPoNBmm": 4,
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"FNLCephFacialProportionsYaxisSN": 62,
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"FNLCephFacialPatternUpperLipmm": 9996,
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"FNLCephSuperimpositions": "/media-files/2365/2439/2439-1636928017487-41-2021-11-14-14-13-37.JPG",
"FNLCephAffiliateComment": "",
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"FNLEvaluationofResultsAffiliate": "Overall I believe all of the treatment objectives were met in this case - namely correction of the right side class II malocclusion, centering of the lower midline with the upper midline and achievement of a consonant smile arc with increased incisor display on smiling. I had initially set out to achieve 80-100% of incisor display on smiling, but finished with instead closer to 60-80% incisor display on smiling - still a significant improvement esthetically, but an area looking back on now that could have ideally been improved for further incisal display if possible. A high quality occlusal result was achieved, however after reviewing the CRE score there were several areas where the buccolingual inclination could have been improved if deficiencies had been better detected during treatment and specifically addressed during finishing.",
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"MBRMemberComments": "",
"ABOTotalCREvalScore": "11",
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"ABOMarginalRidges": "1.0",
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"ABOBuccolingualInclination": "7.0",
"ABOBuccolingualInclinationMX17": "1",
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"ABOBuccolingualInclinationMX25": "1",
"ABOBuccolingualInclinationMX26": "1",
"ABOBuccolingualInclinationMX27": "1",
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"ABOBuccolingualInclinationMD36": "",
"ABOBuccolingualInclinationMD35": "1",
"ABOBuccolingualInclinationMD34": "",
"ABOBuccolingualInclinationMD44": "",
"ABOBuccolingualInclinationMD45": "1",
"ABOBuccolingualInclinationMD46": "1",
"ABOBuccolingualInclinationMD47": "",
"Overjet": "1.0",
"ABOOverjetMX17": "",
"ABOOverjetMX16": "",
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"ABOOverjetMX13": "",
"ABOOverjetMX12": "",
"ABOOverjetMX11": "1",
"ABOOverjetMX21": "",
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"ABOOcclusalContacts": "1.0",
"ABOOCBuccalSurfaceR1": "1",
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"ABOOcclusalRelationships": "0.0",
"ABOORR1": "",
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"ABOORL6": "",
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"ABOInterproximalContacts": "0.0",
"ABOICRightTop1": "",
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"ABORootAngulation": "1.0",
"ABORARightTop1": "",
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"ABORARightTop3": "1",
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"SUBPTXreadyforsponsor": false,
"SUBPTXreadyforAC": false,
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"SUBFNLsubmissiondate": "2021-11-15T00:00:00",
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"CSMDiagnosisOverjet": "5-7mm",
"CSMDiagnosisOverbite": "1-3mm",
"CSMDiagnosisAnteriorOpenbite": "n/a",
"CSMDiagnosisLateralOpenbite": "n/a",
"CSMDiagnosisCrowding": "Crowding 2-4mm",
"CSMDiagnosisAngle": "Cl II subdivision",
"CSMDiagnosisANB": "4-6°",
"CSMDiagnosisSNMP": "21-24°",
"CSMDiagnosis1MP": "91-95°",
"CSMDiagnosis": [
"Midlines Off > 3mm",
"Missing Teeth"
],
"CSMDiangonisOther": "Missing #16 and 46",
"CSMTreatmentPlan": [
"Fixed appliances",
"Elastics"
],
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"PTXRadiographsLateralCephAffiliateComment": "",
"PTXRadiographsPACephAffiliateComment": "",
"PG1RadiographsLateralCephAffiliateComment": "",
"PG1RadiographsPACephAffiliateComment": "",
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"PG2LatCephAffiliateComment": "",
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"FNLLatCephAffiliateComment": "",
"FNLLatCephSponsorComment": "",
"FNLLatCephACComment": "",
"BREAK1": "",
"SORSponsorEmail": "toddmooredds@gmail.com",
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"PTXStudyCastsFacialFrontalComment": "",
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"PTXStudyCastsFacialSmilingComment": "",
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"PTXStudyCastsIntraoralFrontalComment": "Image taken from CBCT due to no initial models (approval given from review board for no initial models for 3 retrospective cases)",
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"PTXStudyCastsIntraoralRightComment": "Image taken from CBCT due to no initial models (approval given from review board for no initial models for 3 retrospective cases)",
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"PTXStudyCastsIntraoralMandComment": "No initial models (approval given from review board for no initial models for N retrospective cases)",
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"PTXStudyCastsIntraoralMaxComment": "No initial models (approval given from review board for no initial models for N retrospective cases)",
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"FNLMemosAffiliateNotes": "I am submitting this case on December 15, 2021, please don't hesitate to let me know if there anything more you might need.",
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"SORChiefComplaint": "Lower crowding, lack of incisor display and bite that feels 'off'",
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"PG2AdmissionCommitteePublicComment": "",
"PTXAdmissionCommitteePublicComment": "",
"FNLAdmissionCommitteePublicComment": "",
"SORCoSponsorEmail": "hicksdds@shaw.ca",
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"PTXPicturesIntraoralAdditionalOptionalComment": "",
"PG1PicturesFacialAdditionalOptionalComment": "",
"PG1PicturesIntraoralAdditionalOptionalComment": "",
"PG1StudyCastsIntraoralAdditionalOptionalComment": "",
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"FNLPicturesFacialAdditionalOptionalComment": "",
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"FNLPicturesIntraoralAdditionalOptionalComment": "",
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"PG2PicturesFacialAdditionalOptional": "",
"FNLPicturesFacialAdditionalOptional": "",
"PG1PicturesFacialAdditionalOptional": "",
"SORPatientName": "J.R",
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