1 europeam society of lingual orthodontists appendix 1 case presentation forms
TRANSCRIPT
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1
EUROPEAM SOCIETY
OF LINGUAL
ORTHODONTISTS
APPENDIX 1
CASE PRESENTATION FORMS
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EUROPEAN SOCIETYOF LINGUAL
ORTHODONTISTS
CANDIDATE NUMBER:
CASE NUMBER:
Year:
ESLO 01
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NAME:
BORN:
SEX:
PRETREATMENT RECORDS:
CLASSIFICATION:
TEETH MISSING BEFORE TREATMENT:
APPLIANCE:
TREATMENT STARTED:
TREATMENT ENDED:
ACTIVE TREATMENT TIME:
POSTTREATMENT RECORDS:
RETAINERS:
RETENTION ENDED:
AGE:
RETENTION TIME:
(POST-) RETENTION RECORDS:
TIME OUT OF RETENTION:
DATE:
AGE: DATE:
AGE: DATE:
a)upper:
a)lower:
a)upper:
a)lower:
DATE:
DATE:
AGE: DATE:
ESLO 02
RÉSUMÉ OF CASE 6RÉSUMÉ OF CASE 6
CLASS III MALOCCLUSIONCASE CATEGORY:
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DIAGNOSTIC DESCRIPTION
OF THE MALOCCLUSION
DIAGNOSTIC DESCRIPTION
OF THE MALOCCLUSION
A. SUMMARY
B. EXAMINATION OF HEAD AND FACE
C. FUNCTIONAL EXAMINATION
D. INTRAORAL EXAMINATION
E. DENTAL CASTS
Mandibular arch:
Maxillary arch:
Occlusion Sagittal:
Occlusion Vertical:
Occlusion Transversal:
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 03
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FRONTAL45°
PROFILE
ESLO 04
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
FACIAL PHOTOGRAPHS BEFORE TREATMENT
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Right Buccal Left Buccal
CenterUpper Occlusal Lower Occlusal
ESLO 05
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
INTRA-ORAL COLOUR PHOTOGRAPHS OF THE OCCLUSION BEFORE TREATMENT
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ESLO 06
LATERAL SKULL RADIOGRAPH BEFORE TREATMENT
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ESLO 07
TRACING OF LATERAL SKULL RADIOGRAPHBEFORE TREATMENT
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CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 07-1
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Pre-treatment
Mean SD
Sagittal Skeleatal
Maxillary PositionS-N-A
82º ±3.5º
Mandibular PositionS-N-Pg
80º ± 3.5º
Sagittal Jaw RelationA-N-Pg
2º ± 2.5º
Vertical Skeletal
Relations
Maxillary InclinationS-N/ANS-
PNS
8º ± 3.0º
Mandibular Inlination
S-N/Go-Gn
33º ± 2.5º
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 1
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 1
ESLO 08
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
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Pre-treatment
Mean SD
Vertical Jaw Relation
ANS-PNS/Go-Gn
25º ± 6.0º
Dento-Basal
Relations
Maxillary Incisor
Inclination1-ANS-PNS
110º ± 6.0º
Mandibular Incisor
Inclination1-Go-Gn
94º ± 7.0º
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 1
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 1
ESLO 08-1
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
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Mandibular Incisor
Compensation
1 –A-Pg (mm)
2 ± 2.0
Dental Relations
Overjet (mm) 2º ± 2.0
Overbite (mm)
2 ± 2.5
Interincisal Angle
1/1132º ± 6.0º
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 1
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 1
ESLO 08-2
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
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PERIAPICAL OR PANORAMIC RADIOGRAPHS
BEFORE TREATMENT
ESLO 09
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ÊSLO 09-1
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
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ANY OTHER RADIOGRAPHS BEFORE TREATMENT
ESLO 10
If needed
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ESLO 10-1
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
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RADIOGRAPHIC ANALYSIS
BEFORE TREATMENT
RADIOGRAPHIC ANALYSIS
BEFORE TREATMENT
A. INTRAORAL / PANORAMIC RADIOGRAPH
B. INTERPRETATION OF CEPHALOMETRIC ASSESSMENT
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 11
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TREATMENT PLAN
AND THE REASON FOR IT
TREATMENT PLAN
AND THE REASON FOR IT
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 12
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Right Buccal Left Buccal
CenterUpper Occlusal Lower Occlusal
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
INTRA-ORAL COLOUR PHOTOGRAPHS OF THE OCCLUSION BETWEEN TREATMENT
ESLO 12-1
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Right Buccal Left Buccal
CenterUpper Occlusal Lower Occlusal
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
INTRA-ORAL COLOUR PHOTOGRAPHS OF THE OCCLUSION BETWEEN TREATMENT
ESLO 12-2
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RÉSUMÉ OF THE TREATMENT CARRIED OUT
INCLUDING
ANY DIFFICULTIES ENCOUNTERED
RÉSUMÉ OF THE TREATMENT CARRIED OUT
INCLUDING
ANY DIFFICULTIES ENCOUNTERED
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 13
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FRONTAL45°
PROFILE
ELO 14
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
FACIAL PHOTOGRAPHS AT COMPLETION OF TREATMENT
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Right Buccal Left Buccal
CenterUpper Occlusal Lower Occlusal
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
INTRA-ORAL COLOUR PHOTOGRAPHS OF THEOCCLUSION AT COMPLETION OF TREATMENT
ESLO 15
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LATERAL SKULL RADIOGRAPH
AT COMPLETION OF TREATMENT
ESLO 16
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TRACING OF LATERAL SKULL RADIOGRAPH
AT COMPLETION OF TREATMENT
ESLO 17
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CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 17-1
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Pre-treatment
Mean SD
Sagittal Skeleatal
Maxillary PositionS-N-A
82º ±3.5º
Mandibular PositionS-N-Pg
80º ± 3.5º
Sagittal Jaw RelationA-N-Pg
2º ± 2.5º
Vertical Skeletal
Relations
Maxillary InclinationS-N/ANS-
PNS
8º ± 3.0º
Mandibular Inlination
S-N/Go-Gn
33º ± 2.5º
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 2
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 2
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 18
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Pre-treatment
Mean SD
Vertical Jaw Relation
ANS-PNS/Go-Gn
25º ± 6.0º
Dento-Basal
Relations
Maxillary Incisor
Inclination1-ANS-PNS
110º ± 6.0º
Mandibular Incisor
Inclination1-Go-Gn
94º ± 7.0º
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 2
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 2
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 18-1
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Mandibular Incisor
Compensation
1 –A-Pg (mm)
2 ± 2.0
Dental Relations
Overjet (mm) 2º ± 2.0
Overbite (mm)
2 ± 2.5
Interincisal Angle
1/1132º ± 6.0º
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 2
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 2
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 18-2
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PERIAPICAL OR PANORAMIC RADIOGRAPHS
AT COMPLETION OF TREATMENT
ESLO 19
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CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 19-1
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RADIOGRAPHIC ANALYSIS AT
COMPLETION OF TREATMENT
RADIOGRAPHIC ANALYSIS AT
COMPLETION OF TREATMENT
A. INTRAORAL / PANORAMIC RADIOGRAPH
B. INTERPRETATION OF CEPHALOMETRIC ASSESSMENT
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 20
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DESCRIPTION OF THE
TREATMENT RESULT
DESCRIPTION OF THE
TREATMENT RESULT
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 21
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FRONTAL45°
PROFILE
ESLO 22
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
FACIAL PHOTOGRAPHS AT RETENTION / POST RETENTION
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Right Buccal Left Buccal
CenterUpper Occlusal Lower Occlusal
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
INTRA-ORAL COLOUR PHOTOGRAPHSAT RETENTION / POST-RETENTION
ESLO 23
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LATERAL SKULL RADIOGRAPH AT RETENTION / POSTRETENTION
ESLO 24
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TRACING OF LATERAL SKULL RADIOGRAPH
AT RETENTION / POST-RETENTION
ESLO 25
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CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 25-1
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Pre-treatment
Mean SD
Sagittal Skeleatal
Maxillary PositionS-N-A
82º ±3.5º
Mandibular PositionS-N-Pg
80º ± 3.5º
Sagittal Jaw RelationA-N-Pg
2º ± 2.5º
Vertical Skeletal
Relations
Maxillary InclinationS-N/ANS-
PNS
8º ± 3.0º
Mandibular Inlination
S-N/Go-Gn
33º ± 2.5º
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 3
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 3
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 26
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Pre-treatment
Mean SD
Vertical Jaw Relation
ANS-PNS/Go-Gn
25º ± 6.0º
Dento-Basal
Relations
Maxillary Incisor
Inclination1-ANS-PNS
110º ± 6.0º
Mandibular Incisor
Inclination1-Go-Gn
94º ± 7.0º
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 3
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 3
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 26-1
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Mandibular Incisor
Compensation
1 –A-Pg (mm)
2 ± 2.0
Dental Relations
Overjet (mm) 2º ± 2.0
Overbite (mm)
2 ± 2.5
Interincisal Angle
1/1132º ± 6.0º
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 3
CEPHALOMETRIC MORPHOLOGICAL
ASSESSMENT 3
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 26-2
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DESCRIPTION OF RETENTION /
POST-RETENTION FINDINGS
DESCRIPTION OF RETENTION /
POST-RETENTION FINDINGS
CANDIDATE NUMBER:
CASE NUMBER:DATE: AGE:
ESLO 27