8th Class Flashcards
______ is a process, which involves the collection of
an adequate data base of information about the
patient and the distillation from that data base, of a
comprehensive but clearly stated precise list of the
patient’s problems.
Diagnosis
________ is an important tool in diagnosis and treatment planning.
•An ideal one of orthodontic conditions would summarize the
diagnostic data and imply the treatment plan.
•can be viewed as the (orderly) reduction of the database to a list
of the patient’s problems.
Classification
•Step 1 is carried out during the initial clinical examination, while
facial asymmetry, anteroposterior and vertical facial proportions,
and lip–tooth relationships (at rest and on smile) are evaluated.
•The clinical findings can be checked against the facial photographs
and lateral cephalometric radiograph, which should confirm the
clinical judgment.
Evaluation of Facial Proportions & Esthetics
•Step 2 is carried out by examining the dental arches from the
occlusal view, evaluating first the symmetry within each dental arch
and second the amount of crowding or spacing present.
•Space analysis quantifies crowding or spacing, but these figures
must be interpreted in the light of other findings in the total
evaluation of the patient.
Step 2:
Evaluation of Alignment and Symmetry
Within the Dental Arches
- At this stage, the casts are brought into occlusion and the occlusal relationships are examined, beginning with the transverse (posterior crossbite) plane of space.
- The objectives are to accurately describe the occlusion and to distinguish between skeletal and dental contributions to malocclusion.
Step 3:
Evaluation of the Transverse Plane of Space
•Examining the dental casts in occlusion will reveal any
anteroposterior problems in the buccal occlusion or in the anterior
relationships.
•It is important to ask whether an end-to-end, Class II or Class III
buccal segment relationship, or excessive overjet or reverse overjet
of the incisors, is caused by a jaw (skeletal) discrepancy, displaced
teeth on well-proportioned jaws (dental Class II or III), or a
combination of skeletal and dental displacement.
Step 4:
Evaluation of the Anteroposterior
•The distinction between dental and skeletal is important because
the treatment for a skeletal Class II relationship in a child or adult
will be different from treatment for a dental Class II problem.
•Cephalometric analysis is needed to be precise about the nature of
the problem.
•The object is to accurately evaluate the underlying anatomic basis of
the malocclusion.
Step 4:
Evaluation of the Anteroposterior
•Occasionally, the molar occlusion is Class II on one
side and Class I on the other.
•Angle called this a ________ depending on which was the Class II side.
Class II subdivision right or left,
With the casts in occlusion, vertical problems can be described as:
•Anterior open bite.
•Failure of the incisor teeth to overlap.
•Anterior deep bite.
•Excessive overlap of the anterior teeth.
•Posterior open bite.
•Failure of the posterior teeth to occlude, unilaterally or bilaterally.
Step 5:
Evaluation of the Vertical Plane of Space
A patient with a skeletal open bite will
usually have an anterior open bite
malocclusion that is characterized by:
• Excessive eruption of posterior teeth.
• Downward rotation of the mandible.
• Downward rotation of the maxilla.
• Normal (or excessive) eruption of anterior teeth.
Long Face Syndrome
What are the 4 components of long face syndrome?
- Excessive eruption of posterior teeth.
- Downward rotation of the mandible.
- Downward rotation of the maxilla.
- Normal (or excessive) eruption of anterior teeth.
What are the 6 clinical features of long face syndrome?
- Increased LAFH.
- Decreased PFH.
- Increased gingival display.
- Incompetent lips.
- AOB.
- Weak musculature.
With the completion of a _________, the diagnostic phase of diagnosis and
treatment planning is completed, and the more subjective process of
treatment planning begins.
•Thorough diagnostic evaluation means that all problems have been identified
and characterized at this stage.
problem list
The objective in _________ is to design the strategy
that address the problems while maximizing benefit and
minimizing cost and risk to the patient.
•Interaction with the patient and parent, so that they are
involved in the decisions that lead to the final plan, is the key
to informed consent.
treatment planning
•Interaction with the patient and parent, so that they are
involved in the decisions that lead to the final plan, is the key
to ________
informed consent.