عيادة الدكتور سعيد محمد ازهر السماك لطب وتقويم الأسنان

05/07/2025

A 25-year-old female patient presented with multiple orthodontic concerns, including a constricted maxillary arch, generalized spacing in the mandibular arch, protrusion of the upper anterior teeth, and generalized spacing throughout the dentition. The patient also had a previously extracted upper left first permanent molar.

Initial Diagnosis:

Skeletal: Constriction of the maxillary arch, contributing to transverse discrepancy.

Dental: Proclination and protrusion of the maxillary anterior segment with generalized spacing; spacing also noted in the mandibular arch.

Other: Upper left first permanent molar missing, which affected the occlusal stability and required space management.

Treatment Objectives:

Expand the maxillary arch to correct the transverse constriction and create sufficient space for alignment.

Achieve proper alignment and leveling of both arches.

Close generalized spacing in both arches to improve esthetics and function.

Correct the upper incisor protrusion and establish proper incisor inclination and overjet/overbite relationships.

Manage the edentulous space of the missing upper left first permanent molar appropriately.

Achieve a stable, functional, and esthetic occlusion with good interarch coordination.

Treatment Plan:
The comprehensive treatment plan consisted of two major phases:

Phase I: Orthopedic expansion of the maxillary arch using an appropriate maxillary expander to correct the constriction and create space for proper tooth alignment.

Phase II: Comprehensive fixed orthodontic treatment using pre-adjusted edgewise appliances (brackets and archwires) to align and level both arches, close residual spaces, retract the upper anterior teeth, and coordinate the arches. Anchorage was planned and reinforced as needed to control unwanted tooth movement during space closure and retraction.

Treatment Progress and Outcome:
The maxillary expansion was successfully achieved, resulting in improved transverse dimension and arch form. Fixed appliances facilitated the alignment of both arches, closure of generalized spaces, and retraction of the protrusive upper incisors. Careful attention was given to the edentulous upper left molar site, maintaining appropriate space or preparing the area for future prosthetic rehabilitation if indicated.

The final occlusion demonstrated well-aligned arches with proper overjet and overbite, improved arch form, and a harmonious facial profile. The patient achieved significant esthetic and functional improvements, with the treatment objectives fully accomplished. Long-term retention was planned to maintain the achieved results.

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20/05/2025

This case presented with a skeletal Class III malocclusion, accompanied by a dental Class III relationship and an anterior open bite of approximately 3 mm. The patient exhibited significant protrusion of the lower central incisors and canines, along with noticeable spacing in both arches. Comprehensive orthodontic treatment was carried out on both the upper and lower jaws to correct the malocclusion, align the dental arches, close the spacing, and achieve optimal functional and esthetic results.

19/05/2025

11/05/2025

Case Description:

An 18-year-old female patient presented with a severe skeletal Class III malocclusion, characterized by maxillary constriction and a skeletal open bite extending from the upper left second premolar to the upper right second premolar. The transverse discrepancy, combined with the sagittal imbalance, contributed to compromised occlusal function and esthetics.

Clinical evaluation and radiographic analysis confirmed the presence of a skeletal Class III base, associated with a narrow maxillary arch and anterior and lateral open bite, resulting in a lack of occlusal contact across the premolar and incisor region. The malocclusion exhibited both vertical and transverse components, complicating functional bite and facial balance.

A comprehensive fixed orthodontic treatment plan was undertaken, which extended over three years, incorporating musculoskeletal orthopedic approaches to address both the skeletal and dental components of the malocclusion. Treatment objectives included transverse expansion of the maxilla, correction of the skeletal open bite, and establishment of a stable and functional Class I occlusion.

Post-treatment results showed significant improvement in arch coordination, vertical overlap of anterior teeth, and overall facial harmony, highlighting the effectiveness of long-term interdisciplinary intervention in managing complex skeletal malocclusions.

08/05/2025

Case description

A 17-year-old male patient presented with an anterior crossbite involving four maxillary incisors. Clinical and radiographic examination confirmed a Class I molar relationship with anterior dental crossbite affecting both central and lateral incisors. The patient underwent comprehensive fixed orthodontic treatment aimed at correcting the anterior crossbite and achieving proper occlusal relationships.

Treatment involved the use of full fixed appliances in both arches to align and level the teeth, correct the crossbite, and establish optimal inter-arch coordination. Anchorage control and careful biomechanics were applied throughout the treatment to maintain Class I molar and canine relationships while transitioning the anterior teeth into correct overjet and overbite.

Following 24 months of active treatment, the case was successfully completed, achieving a stable Class I relationship in the incisor, canine, and molar regions with proper overbite and overjet, improved function, and enhanced esthetics.

05/03/2025

A 17-year-old female patient with Class II Division 1 malocclusion was treated using a camouflage approach with the extraction of the first premolars. The treatment aimed to achieve dental compensation, improve occlusion, and enhance facial esthetics without orthognathic surgery. Fixed orthodontic appliances were used to retract the upper anterior teeth, close extraction spaces, and establish a Class I canine relationship. The total treatment duration was two years, resulting in improved dental alignment, overjet reduction, and a balanced profile.

14/02/2025

Orthodontic Case Report

Patient Information:

Age: 18 years

Gender: Male

Chief Complaint: The patient presented with concerns regarding the forward positioning of both upper and lower teeth, along with noticeable spacing between the anterior teeth.

Diagnosis: Clinical examination and diagnostic records revealed bimaxillary protrusion with generalized spacing in both upper and lower anterior segments. The patient exhibited a convex facial profile with lip incompetence and protrusion, as well as an increased overjet.

Treatment Plan: The treatment plan involved fixed orthodontic therapy using a pre-adjusted edgewise appliance. The objectives were to:

Reduce bimaxillary protrusion

Close anterior spaces

Improve dental and facial aesthetics

Achieve proper lip competence

Treatment Progress:

Initial alignment and leveling were achieved using light round archwires.

Sequential archwire progression facilitated space closure via retraction mechanics.

Anchorage control was maintained throughout the space closure phase.

Intermaxillary elastics were used to optimize occlusal relationships.

Treatment Duration: The patient underwent fixed orthodontic treatment for 2 years.

Treatment Outcome:

Spaces in the upper and lower anterior regions were successfully closed.

Bimaxillary protrusion was significantly reduced, improving the patient’s profile and achieving lip competence.

The occlusion was established with proper overjet and overbite.

Post-treatment retention was maintained using removable retainers.

Conclusion: The treatment objectives were successfully achieved within the planned duration. The patient was satisfied with the aesthetic and functional improvements in dental alignment and facial profile.

06/02/2025

Case Description:

A 17-year-old female presented with a complex malocclusion characterized by a total Class III relationship, severe dental crowding, and marked maxillary constriction. In addition, the patient exhibited an impacted upper left canine, positioned horizontally, further complicating the treatment plan.

Treatment Approach:

Maxillary Expansion: To address the severe maxillary constriction, expansion therapy was initiated to increase the arch width and improve the overall occlusal relationship.

Extraction: The horizontally impacted upper left canine was extracted to eliminate the impaction and facilitate better alignment.

Prosthetic Replacement: Following extraction, a fixed prosthesis was used to replace the canine, restoring both function and esthetics.

Outcome:

The multidisciplinary approach effectively corrected the malocclusion, alleviated crowding, and reestablished a harmonious smile. This case highlights the importance of comprehensive treatment planning in managing complex orthodontic challenges.

01/02/2025

Orthodontic Case Report: Male, 21 Years Old

Chief Complaint:
The patient, a 21-year-old male, presented with a constricted maxillary arch, leading to dental crowding and compromised occlusion. The patient also exhibited a tongue thrust habit, contributing to the arch constriction and instability in dental positioning.

Diagnosis:

Constricted maxillary arch

Tongue thrust habit

Dental crowding

Malocclusion due to insufficient arch width

Treatment Plan:

Maxillary Arch Expansion: A skeletal or dental expander was used to widen the upper arch, creating sufficient space for proper alignment.

Fixed Orthodontic Appliance: After expansion, a fixed orthodontic appliance (braces) was placed to align the teeth and correct the occlusion.

Tongue Habit Correction: Myofunctional therapy and habit-breaking exercises were incorporated to address tongue thrusting and prevent relapse.

Retention Phase: After two years of active treatment, retention was maintained using appropriate retainers to stabilize the achieved results.

Treatment Duration:
The total treatment duration was approximately two years, including the expansion phase and fixed appliance therapy.

Outcome:
The treatment successfully expanded the maxillary arch, improved dental alignment, and corrected the patient's occlusion. Additionally, tongue thrust habit management contributed to the long-term stability of the results. The patient achieved a well-balanced and functional occlusion with an improved dental arch form

04/11/2024

This case report describes the treatment of a Class II Division 1 malocclusion with severe overjet (greater than 15mm) and a deep bite in a young patient with a small, retruded mandible. Growth modification was achieved using a fixed orthopedic appliance.
1. Initial Diagnosis:
o Class II Division 1 malocclusion.
o Severe overjet of over 15mm.
o Deep bite with excessive vertical overlap of the anterior teeth.
o Small and retruded mandible contributing to a convex facial profile.
2. Treatment Plan:
o Growth modification therapy was selected to address the skeletal discrepancy during the patient’s growth period.
o A fixed functional appliance (e.g., Forsus appliance) was used to stimulate mandibular growth and reposition the mandible forward.
o The appliance was aimed at correcting the overjet, deep bite, and improving the profile by encouraging mandibular growth.
3. Treatment Progress:
o The patient was regularly monitored to ensure the appliance was exerting appropriate forces.
o Adjustments were made as needed to optimize mandibular advancement and maintain the appliance.
o The treatment was continued until a stable Class I occlusion was achieved with improved alignment of the dental arches.
4. Outcome:
o The overjet was significantly reduced, achieving a more normal occlusal relationship.
o The deep bite was corrected, improving both function and aesthetics.
o Mandibular growth was effectively stimulated, resulting in a more balanced facial profile.
o The patient’s final occlusion was stable, with Class I molar and canine relationships, and a well-aligned dental arch.
5. Conclusion:
o Growth modification with a fixed orthopedic appliance proved effective in correcting severe Class II Division 1 malocclusion in a growing patient.
o This approach allowed for the management of severe overjet and deep bite while enhancing the mandibular profile and overall facial harmony.

30/10/2024

حالة لتقويم الأسنان وجراحة الفك التقومية لحالة تعاني من تقدم الفك السفلي مع وجود عضة عكسية مدة العلاج سنتان. تم إجراء الجراحة التقومية من قبل الدكتور المبدع وائل شلاوي .waelshallawiò

21/10/2024

حالة لتقويم الأسنان تعاني من تراجع وتضيق في الفك العلوي مع وجود ناب مطمور تم علاج الحالة باستخدام جهاز تقويم الأسنان الثابتة مدة العلاج ثلاث سنوات