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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

14/12/2025

Immediate implantation after extraction of upper first permanent molar

13/12/2025

Case Description

The patient presented with a constricted maxillary arch associated with transverse maxillary deficiency. Clinical examination revealed ectopic eruption of the right maxillary canine, accompanied by complete space closure between the right lateral incisor and the right first premolar, resulting in arch-length deficiency and midline asymmetry. The malocclusion was further characterized by improper canine guidance and compromised occlusal relationships.

The treatment objectives included maxillary arch expansion to correct the transverse discrepancy, creation of adequate space for proper alignment of the ectopically erupted right canine, correction of the maxillary dental midline deviation, and establishment of a stable and functional occlusion with Class I canine and molar relationships.

Treatment was accomplished through maxillary arch expansion followed by comprehensive fixed orthodontic therapy over a period of approximately two years. Controlled space opening and alignment were used to guide the right canine into its proper position within the dental arch. Comprehensive orthodontic mechanics were employed to correct midline asymmetry, align both arches, and coordinate occlusion.

At the completion of treatment, the maxillary arch form was normalized, the ectopic eruption of the right canine was successfully corrected, and proper intercuspation was achieved. A stable Class I molar and canine relationship was established bilaterally, resulting in improved dental occlusion

11/12/2025

Case Description

A 14-year-old female patient presented with a chief complaint related to dental esthetics and functional concerns. Clinical and cephalometric examination revealed a reverse anterior overjet and a tendency toward Class III malocclusion, characterized by mild skeletal discrepancy and dental compensation. The patient exhibited an edge-to-edge incisal relationship with inadequate overbite and overjet, as well as canine and molar relationships deviating from Class I.

Given the patient’s remaining growth potential, a combined approach of growth-modification therapy and orthodontic camouflage was adopted. The treatment plan aimed to optimize maxillofacial growth while simultaneously correcting dental compensations to improve occlusal harmony and facial esthetics.

Treatment Objectives

Achieve an incisor Class I relationship

Establish positive overjet and overbite

Obtain Class I canine and molar relationships

Improve functional occlusion and overall esthetics

Treatment Progress and Outcome

Over the course of one and a half years, growth-modification appliances were used to guide favorable skeletal development, while fixed orthodontic mechanics provided dental alignment and occlusal correction. The combined modality allowed successful resolution of the reverse overjet and establishment of proper anterior guidance. By the completion of treatment, the patient exhibited a stable positive overjet and overbite, and Class I canine and molar relationships were achieved. The final occlusion demonstrated functional improvement, enhanced facial balance, and satisfactory esthetic outcomes.

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.

Address

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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