Patient- Albert Desouja


Gender- Male

Height- 148

Weight- 61 k

Blood Pressure- 120/78

Pulse Rate- 74 bpm

Respiratory Rate- 20/min

Temprature- 37 c

Chief Complain:  Patient complains of crooked teeth as permanent teeth start erupting.

History of Chief Complaint: i have crooked teeth as long as i remember.

Dental History- Regular dental patient for hygiene and prophylaxis.

Medical History- Healthy Patient

Current Medication- None

Allergies: None

Social and Family History-  Youngest of 2 siblings brother also has crooked teeth.

Chief Examination: 

Significant Findings:


Intraoral: Malaligned teeth 

SNA = 74 (mean = 82 degrees)
SNB = 68 (mean = 80 degrees)
Mandibular Plane = 27 (mean = 32 degrees)
Maxillary incisors to palatal plane = 115 (mean = 112 degrees)
Mandibular incisors to mandibular plane = 95 (mean = 90 degree)

Question 1 (Select ONE OR MORE correct answers.) 

Which of the following facial characteristics does this patient have? 

a. Convex profile type 

b. Straight profile type 

c. Concave profile type 

d. Retrognathic facial type 

e. Orthognathic facial type 

f. Prognathic facial type 

g. Long lower face height 

h. Normal lower face height

 i. Short lower face height 

j. Acute nasolabial angle 

k. Obtuse nasolabial angle 

l. Short upper lip 

m. Incompetent lip 

n. Everted (redundant) lip

Question 2 (Select ONE correct answers) 

Q2.Which of the following dental occlusions does this patient have? 

a. Angle Class I

 b. Angle Class II division I 

c. Angle Class II division II 

d. Angle Class II division I subdivision right 

e. Angle Class II division I subdivision left 

f. Angle class II division II subdivision right 

g. Angle Class II division II subdivision left 

h. Angle Class III

i. Angle Class III subdivision right 

j. Angle Class III subdivision left 

Question: 3 (Select ONE OR MORE correct answers.) 

Q3. Which of the following reflect the overjet, overbite and midline relationships
for this patient? 

a. Negative overjet. 

b. Normal overjet. 

c. Excessive overjet. 

d. Negative overbite. 

e. Normal overbite. 

f. Excessive overbite. 

g. Maxillary midline coincident with the mandibular midline. 

h. Maxillary midline to the left of the mandibular midline. 

i. Maxillary midline to the right of the mandibular midline. 

Question 4 (Select ONE OR MORE correct answers.) 

Q4. This patient presents with: 

a. No space discrepancy in the maxilla.

b. No space discrepancy in the mandible. 

c. Crowding in the maxilla. 

d. Crowding in the mandible. 

e. Spacing in the maxilla. 

f. Spacing in the mandible

Question 5 (Select ONE OR MORE correct answers.) 

The patient’s cephalometric values are: 

Question 5 (Select ONE OR MORE correct answers.) 

Q5. Based on the cephalometric values provided, the patient presents with: 

a. Prognathic maxilla 

b. Normally positioned orthognathic maxilla. 

c. Retrognathic maxilla 

d. A prognathic mandible 

e. Normally positioned mandible 

f. Retrognathic mandible. 

g. A flat (low) mandibular plane 

h. Normal mandibular plane 

i. Steep (high) mandibular plane 

j. Labially inclined maxillary incisor 

k. Normally inclined maxillary incisor 

l. Lingually inclined maxillary incisor 

m. Labially inclined mandibular incisor 

n. Normally inclined mandibular incisor 

o. Lingually inclined mandibular incisor

Question: 6 (Select ONE correct answer.) 

Q6. When should orthodontic treatment be initiated for this patient? 

a. Immediately. 

b. During the primary dentition. 

c. During the mixed dentition (after eruption of permanent first molars and

d. During late mixed dentition prior to pubertal growth spurt. 

e. Immediately following the eruption of permanent second molars. 

f. After the completion of growth.

Question: 7 (Select ONE OR MORE correct answers.) 

Q7. Best Treatment of the Maxillary arch of this patient require:

a. Posterior Bite Block

b. Anterior Bite Block

c. Labial Bow

d. Head Gear

e. Intermaxillary Braces 

f. Twin Block with Lip Bumper and Expansion Screw

g. Fixed Functional Appliance