FULL DENTAL ANALYSIS & DIAGNOSIS (Based on Uploaded Images)

1. Cephalometric Findings

The X-ray images show a sagittal discrepancy consistent with:

A. Proclined Maxillary Incisors

• The upper front teeth appear to be leaning forward, creating an 8mm anterior overjet (as labeled in the clinical photo).

• This significantly affects lip support, facial profile, and function.

B. Mandibular Position & Growth Pattern

• Mildly convex profile indicating possible Class II skeletal pattern.

• Chin position appears slightly retruded relative to the upper jaw.

C. Dental–Skeletal Relationship

• The dental protrusion (teeth forward) is more pronounced than skeletal imbalance, suggesting a dental Class II Division 1 malocclusion.

• No sign of fractures, pathology, or bone anomaly visible on the cephalometric scan.

2. Clinical Intraoral Observation

(From lower two images)

A. 8mm Positive Overjet

• Normal overjet: 2–3 mm

• Client has: 8 mm, classified as moderate to severe
  This can cause:

• Difficulty biting

• Speech issues

• Lip incompetence

• Dry mouth tendency during sleep

• Increased trauma risk to upper front teeth

B. Upper Labial Gingival Tissue

• Tissue appears healthy but stretched due to the forward position of the teeth.

C. Lower Incisor Position

• Lower incisors appear upright, not compensating for the maxillary protrusion.

3. MAIN DIAGNOSIS

Class II Div 1 Malocclusion
with
Proclined Upper Incisors and 8mm Overjet

This is primarily dental protrusion, not skeletal deformity.

4. TREATMENT OPTIONS

Option 1: Orthodontic Correction (Recommended)

• Braces or clear aligners

• Use of elastics or distalization to pull upper teeth backward

• Timeframe: 6–12 months depending on biological response

Option 2: Immediate Aesthetic Correction with Veneers

(not ideal for severe overjet correction but possible if patient refuses ortho)

• Reduce protrusion through enameloplasty + veneer placement

• Improved angulation but limited skeletal correction

Option 3: Ortho + Veneer Combination

• First correct alignment

• Then apply veneers for shape and final aesthetics

5. 14-DAY HEALING TIMELINE

If orthodontic or dental correction begins:

Day 1–3

• Mild pressure/discomfort

• Adjustment of soft tissues around teeth

Day 4–7

• Gingiva begins adapting to new tooth positions

• Reduction of inflammation

• Patient feels more comfortable

Day 7–14

• Noticeable initial tooth movement

• Overjet begins to reduce slightly

• Stability improves

This is only the initial phase. Full correction (8mm overjet) requires several months.

6. RISKS IF CONDITION WORSENS

If untreated:

• Deeper protrusion progression

• Trauma risk (breaking or chipping upper teeth)

• Gum recession

• Speech difficulty

• TMJ strain

• Airway issues when sleeping

• Aged facial profile due to excessive lip separation

7. PROFESSIONAL COMMENTS

This is a correctable and predictable case.
Best managed with orthodontic therapy to retract the upper incisors and correct the 8mm overjet. Veneers may be used afterward for perfect symmetry and aesthetics. Early treatment prevents future complications.

Visit your nearest dental specialist.
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