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Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 1
Complicated
Orthodontic Cases
www.thebrace.com
Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 2
Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 3
Dr Murtuza Hasnaini
Specialist Orthodontist
BDS (Hons), MFDSRCS (Eng), MSc, MOrth RCS (Eng), MOrthRCS (Ed)
Dr Murtuza Hasnaini received his training at Barts and The London School of
Medicine and Dentistry which is one of the leading medical schools in the
UK. He has treated over 10,000 orthodontic patients over the last 15 years
and he has a particular interest in treating adults with virtually invisible braces
called Invisalign.
Every year Dr Murtuza gives lectures to general dentists. He helps them
learn about treating the most complex cases and the latest advances in
orthodontic treatment.
Dr Murtuza is in charge of planning the treatment. He leads a clinical team
of orthodontic therapists, nurses and hygienists and other orthodontists to
ensure the best possible results in every treatment.
3
Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 4
Protruding
Before
After
PATIENT A, 21 year old, female
4
CONCERNS
Protruding teeth
DIAGNOSIS
Class II division I malocclusion with 10mm overjet
APPLIANCE
Invisalign
TREATMENT PLAN
Non extraction and IPR
TREATMENT TIME
24 months
Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 5
Spacing
Before
After
PATIENT B, 37 years old, female
CONCERNS
Gaps between upper and lower teeth
DIAGNOSIS
Class III malocclusion with spacing and bimaxillary proclination
APPLIANCE
Ceramic fixed braces
TREATMENT PLAN Non extraction with minimal IPR
TREATMENT TIME
18 months
5
Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 6
Overbite
Before
After
PATIENT C, 23 years old, male
CONCERNS
Prominent upper teeth
DIAGNOSIS
Class II division 1 malocclusion with crossbite,
increased overbite and overjet of 9mm
APPLIANCE
Metal fixed braces
TREATMENT PLAN Non extraction with IPR
TREATMENT TIME
6
20 months
Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 7
Crossbite
Before
After
PATIENT D, 28 years old, male
CONCERNS
Teeth not being straight at the front and back
DIAGNOSIS
Class I malocclusion with crowding and
bilateral and anterior crossbite
APPLIANCE
Ceramic fixed braces
TREATMENT PLAN Non extraction with IPR
TREATMENT TIME
19 months
7
Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 8
Crowding
Before
After
PATIENT E, 33 year old, male
CONCERNS
Crowded teeth
DIAGNOSIS
Class I malocclusion with crowding
APPLIANCE
Ceramic upper and metal lower fixed braces
TREATMENT PLAN Extraction of deciduous canine teeth
TREATMENT TIME
8
17 months
Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 9
Underbite
Before
After
PATIENT F, 26 years old, female
CONCERNS
Underbite, crowded teeth
DIAGNOSIS
Class III malocclusion with severe upper arch crowding,
anterior and posterior crossbite
APPLIANCE
Ceramic fixed braces
TREATMENT PLAN Non extraction, expansion and IPR
TREATMENT TIME
16 months
9
Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 10
Openbite
Before
After
PATIENT G, 30 years old, female
CONCERNS
Upper front teeth not straight and gap between upper
and lower teeth
DIAGNOSIS
Class II division 1 malocclusion with anterior open bite
APPLIANCE
Metal fixed appliances with miniscrew implants
TREATMENT PLAN Miniscrews implants to intrude posterior teeth and IPR
TREATMENT TIME
10
28 months
Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 11
Complicated cases.qxp_Layout 1 27/09/2016 16:28 Page 12
The Brace, 15 Artillery Passage, London, E1 7LJ
Tel: 020 7247 5768 Email: [email protected]
www.thebrace.com
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