My Courses › Forums › Synapse Orthodontics: Module 1 › Module 1, Prompt 3
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Module 1, Prompt 3
Posted by David Dayan on August 17, 2024 at 11:53 amHow do we justify long lower face height in prompt 3 if the ceph numbers do not back it up in prompt 4?
Thank you!
Chad Carter (Course Director) replied 5 months ago 4 Members · 6 Replies -
6 Replies
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Given it was asking for a soft tissue diagnosis, I was thinking for along the ‘rule of thirds’ and it looks like the base of her nose to chin is longer than her hairline to base of nose third. Normal ratio of middl to lower third is 1:1 and it looks like lower third is longer. Just how I saw it but curious what others think!
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Good discussion folks.
Yes, I agree this is a visual assessment because the records don’t give any linear measurements for face height. The landmarks you mention are the same I use.
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I also had the same thought process. Patient looks only slightly long in profile. But why then patient is not diagnosed as hyperdivergent in prompt 4? FMA is increased and just by looking to her mandible for me looks like steeper mandibular plane, short ramus, antegonial notch. Did not get the rationale for normodivergency as an answer. Thank you!
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Maria, Good observations. It’s always a challenge finding sample cases where things are “cut and dry” for sample practice. In this Module 1 case I think your observations definitely support treating as a hyperdivergent. I think that may be a typo on that one. She’s borderline for sure but when I have a patient that is borderline then I try to focus on what could get out of control for me during treatment. I agree the vertical is good to keep in mind for her.
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Glad it helped! Thanks for being so active on the discussions, Maria. You are really helping contribute to everyone’s learning!
It’s a team sport folks!
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