Assessment and diagnosis Flashcards
If a pt is under 16, who can consent for them?
someone with parental responsibility can consent for them.
This could be:
* the child’s mother or father
* the child’s legally appointed guardian
* a person with a residence order concerning the child
* a local authority designated to care for the child
* a local authority or person with an emergency protection order for the child
Name the general history you need to ensure you’ve taken of an orthodontic patient
○ Patient details: name, DOB, who have they attended with? Contact details …
○ Referrer’s details: GDP / Specialist Practitioner / Another clinician, why?
○ Presenting complaint: child’s opinion? parent’s opinion? patient motivation?
○ Medical History: Up to date? Signed by patient/guardian, summary recorded on assessment form
○ Dental History: Regular attender? Caries risk? Trauma history? Previous treatment, attitude towards orthodontics, habits? - what, duration? History of hypodontia, class III growth …
○ Family/Social History: Any siblings that have needed treatment, complexity and with who? Occupation if an adult
Why must the anterior-posterior and vertical skeletal assessment be performed with the patient in Natural Head Posture/ the Frankfort Plane parallel to the floor?
- Reproducible
- Standardized
- Used in Cephalometry
How is the anterior-posterior plane measured?
Performed by placing first finger and middle finger in the maximum concavities of the maxilla & mandible, respectively, & assessing the change in their inclination
Describe what a skeletal I relationship is
Mandible lies 2-4mm behind the maxilla
‘Average’ relationship between maxilla and mandible
Describe what a skeletal II relationship is
*Mandible lies >4mm behind the maxilla
*Mandible is retrusive relative to the maxilla
Describe what a skeletal III relationship is
Mandible is in line with or ahead of the maxilla
*i.e. Mandible is protrusive relative to the maxilla
