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عيادة الدكتور سعيد محمد ازهر السماك لطب وتقويم الأسنان

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عيادة الدكتور سعيد محمد ازهر السماك لطب وتقويم الأسنان

عيادة طب الاسنان التخصصية في تجميل وتقويم وزراعة الاسنان

07/12/2025

حالة لزراعة الأسنان لتعويض الناب والضاحك الأول

17/11/2025

Case Description

The patient presented with a total skeletal and dental class III Malocclusion, characterized by significant maxillomandibular discrepancy and severe dental compensation. Extraoral examination revealed a concave facial profile, while intraoral assessment showed a constricted maxillary arch and malocclusion affecting both arches.

Treatment Objectives and Challenges

The primary objectives of treatment were to

Correct the transverse maxillary deficiency,

Improve the sagittal skeletal relationship through growth-modifying orthopedic therapy,

Establish proper dental alignment and functional occlusion, and

Enhance facial aesthetics.

A major complicating factor was the extraction of the lower first permanent molar at the onset of treatment. This tooth loss introduced additional biomechanical challenges in achieving ideal arch coordination and long-term occlusal stability.

Treatment Progress

Management included expansion of the upper arch followed by growth-modification treatment for both the maxilla and mandible. Orthopedic forces were applied to improve jaw relationships, while fixed appliances were used for dental alignment.

To address the missing lower first molar, the treatment plan aimed to mesialize the lower second

15/11/2025

Case Description

The patient presented with a skeletal and dental Class II malocclusion characterized by significant crowding in the lower dental arch, notable dental rotations, and protrusion of the upper dentition. The upper arch displayed flaring of the incisors contributing to the protrusive profile, while the lower arch exhibited insufficient space and misalignment due to moderate crowding.

A camouflage treatment plan was selected to correct the malocclusion without the need for orthognathic surgery. The treatment involved bilateral extraction of the lower first premolars to relieve crowding and allow proper alignment and retraction of the anterior teeth. Additionally, the upper dental arch underwent stabilization and alignment (“sterilization” interpreted as leveling, aligning, and coordinating the arch) to address the protrusion and establish proper interarch relationships.

Fixed orthodontic appliances were placed on both arches. Over the course of 24 months, progressive alignment, space closure, and arch coordination were carried out. Anchorage was carefully managed to ensure controlled retraction of the lower anterior segment and correction of the Class II dental relationship.

By the end of the two-year treatment period, the patient successfully achieved a stable Class I occlusion with improved dental alignment, corrected lower-arch crowding, harmonized arch forms, and an overall enhanced esthetic profile. The results demonstrated good functional occlusion and satisfactory orthodontic stability.

11/11/2025

تعويض الأسنان المفقودة باستخدام زراعة الاسنان

08/11/2025

Case Description:
The patient presented with a chief complaint of spacing between the upper and lower teeth. Clinical examination revealed generalized spacing in both the maxillary and mandibular arches, accompanied by proclination of the upper anterior teeth, resulting in an increased overjet and compromised esthetics.

The treatment objectives included the closure of interdental spaces, correction of upper anterior proclination, and improvement of overall dental alignment and occlusion. Fixed orthodontic treatment was carried out using a preadjusted edgewise appliance for a duration of one and a half years.

Upon completion of treatment, all spaces were successfully closed, the upper anterior teeth were properly aligned and retroclined to an ideal inclination, and functional as well as esthetic outcomes were significantly improved. Retention was provided to maintain the achieved results

05/11/2025

تعويض الضاحك الثاني بواسطة زراعة الاسنان

01/09/2025

Case Description
A patient presented with a skeletal and dental Class III malocclusion associated with a constricted maxilla. Clinical and radiographic evaluation revealed maxillary transverse deficiency with posterior crossbite and an anterior crossbite due to the skeletal discrepancy. The initial molar and canine relationships were Class III bilaterally, with proclined mandibular incisors and retroclined maxillary incisors contributing to the negative overjet.

Treatment Plan
A non-surgical camouflage approach was adopted. The treatment objectives included correction of the transverse deficiency, establishment of a functional and esthetic occlusion, and improvement of facial balance. Maxillary expansion was performed using a bonded rapid maxillary expander to address the transverse constriction. After adequate expansion, comprehensive fixed appliance therapy was initiated in both arches. Mechanotherapy included alignment and leveling, space coordination, and the use of intermaxillary elastics to aid in the sagittal correction and camouflage of the Class III skeletal base.

Treatment Outcome
At the end of treatment, the patient demonstrated a well-coordinated arch form with resolution of the posterior crossbite. Dental camouflage was achieved, resulting in a Class I incisor, canine, and molar relationship. The overjet and overbite were normalized, and facial esthetics were enhanced. The final occlusion was stable, functional, and met the treatment objectives without the need for surgical intervention.

18/08/2025

Case Description

A 10-year-old female patient presented with skeletal Class III malocclusion characterized by anteroposterior maxillary deficiency and constricted maxilla affecting both the anterior and posterior regions. The skeletal profile showed maxillary retrusion relative to the mandible, producing a concave facial profile. The dental profile revealed anterior crossbite and posterior transverse deficiency.

Treatment Progression

Phase I: Rapid Maxillary Expansion (RME)

A rapid maxillary expansion appliance was placed to address the transverse deficiency.

Successful expansion was achieved, evidenced clinically by the appearance of a median diastema, confirming midpalatal suture separation.

Phase II: Maxillary Protraction with Reverse Facemask

Following expansion, treatment progressed with reverse pull facemask to protract the maxilla anteriorly.

The orthopedic effect aimed to correct the skeletal Class III relationship by advancing the maxilla and improving the sagittal skeletal discrepancy.

Phase III: Comprehensive Orthodontic Treatment

After growth modification, the treatment plan includes placement of fixed orthodontic appliances (brackets) on both arches.

This stage will be directed toward final occlusal settlement, alignment, leveling, and achieving functional and esthetic

11/08/2025

Case Description
A 13-year-old growing patient presented with total maxillary constriction, involving both the anterior and posterior segments of the maxilla. The treatment was initiated with rapid maxillary expansion (RME) to address the transverse deficiency and create adequate maxillary arch width. Following the expansion phase, the patient was managed with Dallaire’s reverse pull facemask to achieve maxillary protraction and stimulate forward maxillary growth as part of a comprehensive growth modification approach.

The treatment is currently ongoing, with the focus remaining on growth modification to correct the underlying skeletal discrepancy. Upon completion of this phase, the patient is expected to receive comprehensive orthodontic appliance therapy to finalize alignment, occlusion, and functional outcomes.

09/08/2025

Case Description:
A 20-year-old male patient presented with chief complaints of difficulty in achieving proper bite and irregularly aligned lower teeth. Clinical and diagnostic examination revealed a constricted maxillary arch and an edge-to-edge anterior occlusal relationship, accompanied by crowding in the mandibular dental arch.

The treatment plan aimed to address the transverse maxillary deficiency and improve inter-arch relationships. Maxillary arch expansion was initiated as the first phase of treatment using an appropriate expansion protocol, maintained over a period of one year to achieve adequate transverse correction and arch coordination. This phase successfully improved the maxillary transverse width, providing space for proper occlusion and alignment.

At present, the case remains in progress, with the next stages focusing on detailed alignment, space management, and occlusal finishing to achieve stable functional and esthetic results

06/08/2025

Orthodontic Case Description

Patient: 12-year-old female
Chief Complaint: Facial esthetics concern and crossbite
Diagnosis:

Skeletal Relationship: Class III skeletal malocclusion with maxillary deficiency

Dental Relationship: Total anterior crossbite and bilateral constricted posterior crossbite

Other Findings: Unilateral impacted maxillary canine

Growth Stage: Prepubertal, indicating favorable timing for orthopedic intervention

Treatment Objectives:

Correct skeletal Class III relationship through maxillary advancement

Eliminate posterior and anterior crossbites

Expand the maxillary arch transversely

Improve facial esthetics and profile

Create space for the eruption of the impacted canine

Achieve a functional and stable occlusion

Treatment Plan:

Phase I: Growth modification using Rapid Palatal Expansion (RPE) combined with maxillary protraction using a reverse-pull facemask to stimulate forward growth of the maxilla and correct the transverse and sagittal discrepancies.

Phase II: Comprehensive fixed appliance therapy to align teeth, close spaces, and coordinate dental arches.

Impacted Canine Management: Space creation followed by spontaneous eruption monitoring and guidance. No surgical exposure was initially required.

Treatment Duration: Approximately 3 years

Outcome:

Successful orthopedic correction of Class III skeletal relationship

18/07/2025

Orthodontic Case Description

A 20-year-old male patient presented with congenital absence of the maxillary second premolars. Clinical and radiographic examination revealed a constricted maxillary arch both anteriorly and posteriorly, as well as rotated teeth and compromised occlusion. The patient exhibited a reduced overjet and overbite, contributing to functional and aesthetic concerns.

The treatment plan involved comprehensive fixed orthodontic therapy over a period of two years. The objectives were to correct the maxillary arch constriction, align the dentition, and establish proper occlusal relationships.

During treatment, maxillary expansion was achieved to address the transverse deficiency. Rotated teeth were successfully derotated, and appropriate space management allowed for optimal alignment of the dental arches. Positive overjet and overbite were established, resulting in improved occlusal function and facial aesthetics.

The treatment outcomes demonstrated significant improvement in both dental function and appearance, with stable results maintained at the conclusion of therapy.

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حي المثنى شارع ٦٠مجاور اعدادية الرسالة الاسلامية للبنين فوق صيدلية الطور
Mosul

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Monday	03:00 - 06:30
Tuesday	03:00 - 06:30
Wednesday	03:00 - 06:30
Sunday	01:00 - 03:00

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