PMC7656026_01
Initial intra-oral records of 10-year-old female in early mixed dentition. Class II Division 1 malocclusion, with increased overjet and deep overbite, midline diastema, and low frenum attachment.
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F1
Patient had no history of bruxism or clenching and reported no pain in the TMJ [Figure 1].
A 10-year-old female with bilaterally impacted canines and severe root resorption of the maxillary central incisors. (a) Panoramic radiograph with normal osseous morphology of the TMJ. (b) Tracing of the initial panoramic radiograph.
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F2
Data collection including panoramic imaging before orthodontic treatment, revealed a normal morphology of both right and left mandibular condyles [Figure 2].
Progress panoramic image of the patient taken at age 11 years. (a) Panoramic image shows right-condyle resorption. (b) Tracing of right-condyle showing right-condyle resorption.
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F3
After several steps of rounding and leveling, progress panoramic radiograph was taken and right condylar resorption was noted at this time [Figure 3].
Progress panoramic image of the patient taken at age 12 years. (a) Panoramic image shows flattening of the right-condyle. (b) Tracing of the right condyle showing flattening.
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F4
A new panoramic radiograph was taken to evaluate the progression of the orthodontic treatment [Figure 4].
Panoramic image of the patient taken at age 13 years. (a) Panoramic image shows further flattening of the right-condyle. (b) Tracing of the panoramic image showing further flattening of the right-condyle.
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F5
Final records obtained at the debond visit, which included panoramic radiograph also exhibited further flattening of the right condyle [Figure 5].
PMC7656026_02
Initial intra-oral records of 12-year-old female with Angle Class II on the left and Class I on the right side. Patient was in permanent dentition, with crowding in maxillary and mandibular arches, increased overjet (5 mm) and deep bite.
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F6
The patient did not report of any history of bruxism or clenching and reported no pain in the TMJ [Figure 6].
Initial panoramic image of 12-year-old female. (a) Panoramic radiograph with normal osseous morphology of the TMJ. (b) Tracing of the right and left condyles.
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F7
Panoramic image before orthodontic treatment revealed a normal morphology of the both right and left mandibular condyles [Figure 7].
Progress panoramic image of the patient taken at age 13 years. (a) Panoramic image shows flattening of both right and left condyles. (b) Tracing of the right and left condyles showing flattening.
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F8
Orthodontic treatment with the upper and lower fixed edgewise appliances, (0.22 Roth) appliance was performed, after which panoramic radiograph was taken and bilateral condylar resorption was noted [Figure 8].
Progress panoramic image of the patient taken at age 14 years. (a) Panoramic image shows further flattening of the right and left condyles. (b) Tracing of the panoramic image showing further flattening of both the right and left condyles.
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F9
Final panoramic radiograph also exhibited further flattening of both right and left condyles, more so on the left condyle [Figure 9].
PMC7656026_03
Initial intra-oral records of 11-year-old female with Angle Class II malocclusion. Patient was in mixed dentition, with crowding, increased overjet (7 mm) and deep overbite.
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F10
The patient did not report of any history of bruxism or clenching and was asymptomatic [Figure 10].
Initial panoramic radiograph taken beforeprior to orthodontic treatment. (a) Panoramic radiograph revealed normal morphology of the left and right mandibular condyles. (b) Tracing of the right and left condyles.
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F11
Panoramic image before orthodontic treatment revealed normal morphology of left and right mandibular condyles [Figure 11].
Progress panoramic image of the patient at age 12 years. (a) Panoramic image showing further flattening of the left and right condyles. (b) Tracing of the condyles showing flattening of the right and left condyles.
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F12
The patient had extractions of the upper first premolars and lower second premolars after which panoramic radiograph was taken and bilateral condylar resorption was noted [Figure 12].