Image 1: Incorrect long axis of maxillary right 2nd premolar, tooth neck positioned too distal. Good attempt on crossbite. Image 2: Occlusion of opposing posterior teeth can be more more accurate. Image 3: Adequate overjet. No posterior root effects. Image 4: Adequate overbite.
* Patient right second premolar position to be improved place upright and not leaning distally. * Patients right mandibular second premolar is lower than the rest of the posterior teeth. *Improve on occlusion . *anterior arch looks flat push maxillary and mandibular anterior teeth necks in. * Check wax up as the some necks can be opened slightly. * Improve on over-jet looks like there are slight gaps that can be closed. * Patients left maxillary lateral is lower than the patients right lateral.
Anterior wax up with regard to festooning and stipling looks natural.
image 1: maxillary 1st premolar neck can be leaning more distally(will sort out the occlusion issue), the neck of the 2nd premolar can be placed more mesial, the curve of spee is not correct at the distal contact of the first molar with the mesial contact area of the second molar on the mandible. image 2: more wax can be calved away above the necks of the posterior teeth. image 3: adequate over bite image 4: patients left maxillary central incisors neck is depressed to severe.
image 1: maxillary 1st premolar neck can be leaning more distally(will sort out the occlusion issue), the neck of the 2nd premolar can be placed more mesial, the curve of spee is not correct at the distal contact of the first molar with the mesial contact area of the second molar on the mandible. image 2: more wax can be calved away above the necks of the posterior teeth. image 3: adequate over bite image 4: patients left maxillary central incisors neck is depressed to severe.
Image 1= The occlusion of the posterior teeth is not making contact with the opposing antagonist as it can be observed there is a space in-between the occlusion. Image 2=The wax up is too bulky as you can check in the retromolar pad area there's a bulk of wax in there and the wax up is not consistent, if the distal aspect of the first molar can be brought down a little the occlusion would be better. Image 3= There is wax on the teeth and the cervical aspect of the teeth are not exposed nicely. Image 4=maxillary midline is not consistent with the mandibular arch ,bulky wax up as well . Image 1,2,3 and 4 Over all your set ups are not bad at all I just wanted to add .. complement you guys
image 1:poor contact in premolar area 2nd premolar could be positioned better image 2:necks of the teeth could be exposed more lack of contact in molar region good anterior wax-up image 3:overjet and overbite looks adequate image 4:negative curve of monson and speee (maxillary molar region is slanting down instead of the opposite direction causing the mandibular molar teeth to be affected
Image 1: The long axis of the2ndmaxillary premolar is laying too much distally. Image 2: There could be a better occlusion. The long axis of the maxillary premolars is supposed to fit in between the facial cusp of the mandible. The maxillary 2ndmolar could have been placed lower to occlude better. Image 3: The wax-up of the maxillary anterior looks bulky. This could lead to a food traps. For a class I crossbite the teeth are set to far forward. There is a big overbite. Image 4: The patient’s right side on the Maxillary arch, the posterior teeth necks are standing out. The necks should be pressed in as well as the patients left canine. On the maxilla, the posterior teeth look to be hanging lower than the anterior teeth.
image 1- second premolar tilted palatly. Can be improved by bringing the neck out and twist the tooth to the correct axis. image 2- canine neck is more prominent mesially and occlusion can be improved image 3- posterior occlusion can be improved, maxillary first and second premolar to be placed slightly more buccally. Gingival margin seems to be prominent , can be smoothed or carved down for a more natural look. image 4- frena to be relieved, mandibular right canine is shifted mesially and can be improved by placing it slightly distal. Mandibular anterior teeth seems to be placed lingually, it can be improved by bringing the necks inwards. wax up seems to be more prominent and can be improved by creating a subtle and more natural look.
In image 1 the neck of the maxillary second premolar is leaning distally.
ReplyDeleteIn image 2 the distobuccal cusp of the maxillary second molar is a bit high.
NIce anterior root effects and stippling
ReplyDeleteImage 1: Incorrect long axis of maxillary right 2nd premolar, tooth neck positioned too distal. Good attempt on crossbite.
ReplyDeleteImage 2: Occlusion of opposing posterior teeth can be more more accurate.
Image 3: Adequate overjet. No posterior root effects.
Image 4: Adequate overbite.
* Patient right second premolar position to be improved place upright and not leaning distally.
ReplyDelete* Patients right mandibular second premolar is lower than the rest of the posterior teeth.
*Improve on occlusion .
*anterior arch looks flat push maxillary and mandibular anterior teeth necks in.
* Check wax up as the some necks can be opened slightly.
* Improve on over-jet looks like there are slight gaps that can be closed.
* Patients left maxillary lateral is lower than the patients right lateral.
Anterior wax up with regard to festooning and stipling looks natural.
image 1: maxillary 1st premolar neck can be leaning more distally(will sort out the occlusion issue), the neck of the 2nd premolar can be placed more mesial, the curve of spee is not correct at the distal contact of the first molar with the mesial contact area of the second molar on the mandible.
ReplyDeleteimage 2: more wax can be calved away above the necks of the posterior teeth.
image 3: adequate over bite
image 4: patients left maxillary central incisors neck is depressed to severe.
image 1: maxillary 1st premolar neck can be leaning more distally(will sort out the occlusion issue), the neck of the 2nd premolar can be placed more mesial, the curve of spee is not correct at the distal contact of the first molar with the mesial contact area of the second molar on the mandible.
ReplyDeleteimage 2: more wax can be calved away above the necks of the posterior teeth.
image 3: adequate over bite
image 4: patients left maxillary central incisors neck is depressed to severe.
Image 1= The occlusion of the posterior teeth is not making contact with the opposing antagonist as it can be observed there is a space in-between the occlusion.
ReplyDeleteImage 2=The wax up is too bulky as you can check in the retromolar pad area there's a bulk of wax in there and the wax up is not consistent, if the distal aspect of the first molar can be brought down a little the occlusion would be better.
Image 3= There is wax on the teeth and the cervical aspect of the teeth are not exposed nicely.
Image 4=maxillary midline is not consistent with the mandibular arch ,bulky wax up as well .
Image 1,2,3 and 4 Over all your set ups are not bad at all I just wanted to add .. complement you guys
image 1:poor contact in premolar area
ReplyDelete2nd premolar could be positioned better
image 2:necks of the teeth could be exposed more
lack of contact in molar region
good anterior wax-up
image 3:overjet and overbite looks adequate
image 4:negative curve of monson and speee (maxillary molar region is slanting down instead of the opposite direction causing the mandibular molar teeth to be affected
Image 1: The long axis of the2ndmaxillary premolar is laying too much distally.
ReplyDeleteImage 2: There could be a better occlusion. The long axis of the maxillary premolars is supposed to fit in between the facial cusp of the mandible. The maxillary 2ndmolar could have been placed lower to occlude better.
Image 3: The wax-up of the maxillary anterior looks bulky. This could lead to a food traps. For a class I crossbite the teeth are set to far forward. There is a big overbite.
Image 4: The patient’s right side on the Maxillary arch, the posterior teeth necks are standing out. The necks should be pressed in as well as the patients left canine. On the maxilla, the posterior teeth look to be hanging lower than the anterior teeth.
image 1- second premolar tilted palatly. Can be improved by bringing the neck out and twist the tooth to the correct axis.
ReplyDeleteimage 2- canine neck is more prominent mesially and occlusion can be improved
image 3- posterior occlusion can be improved, maxillary first and second premolar to be placed slightly more buccally. Gingival margin seems to be prominent , can be smoothed or carved down for a more natural look.
image 4- frena to be relieved, mandibular right canine is shifted mesially and can be improved by placing it slightly distal. Mandibular anterior teeth seems to be placed lingually, it can be improved by bringing the necks inwards. wax up seems to be more prominent and can be improved by creating a subtle and more natural look.