Diagnosis

Question 1

Goals with Ortho Dx

Answer 1

• Evaluate and document
  
  • oral health
  • jaw function
  • facial proportions
  • smile characteristics
• Determine which diagnostic records are required

Question 2

Decisions to make while diagnosing

Answer 2

• Should and can problems be treated othodontically
• Wuld treatment require restorative dentistry
  
  • Peg laterals
• Treatment timing
  
  • When all perm teeth have erupted?
  • 1 phase vs 2 phase
    
    • benefits and risks
• Types of treatment
  
  • Comprehensive
  • Interceptive
  • Limited
• Motivation External vs internal

Question 3

Diagnosis should involve (4)

Answer 3

• Problem oriented approach
• Patients chief complaint (perceptions)
• Problem list
  
  • Unbiased, facts, comprehensive database
• Solutions
  
  • clinical judgement based on priorities

Question 4

Final treatment plan should 4

Answer 4

• Satisifie patients Chief Complaint
• Patient involvement
• Maximum benefit
• Minimal risk

Question 5

Problem List Includes (3)

Sources

Answer 5

• Developmental problems
• Pathological problems (med and dental)
  
  • Missing/supernumerary teeth
  • Caries/ pulpal patho
  • Periodontal disease
  • Mucogongival problems
• Set of priorities
• Sources
  
  • Interview written and oral
  • Casts
  • X-rays
  • Photos

Question 6

3 Major Chief Complaints from Patients

Answer 6

Dentofacial Apperance

Impaired function

Impaired oral health

Question 7

Important info from Med Hx

7

Answer 7

• Inherited syndromes, systemic disease
• Hx of trauma and hospitilization
• Certain medical conditions requires premedication before seperators and band placement
• Medications
• Allergies
• Tonsils and adenoids
• Growth potential

Question 8

Dental History should include 4

Answer 8

• Dental IQ
  
  • Pts knowledge and value place on dentistry
• Prev experience with dentistry
• Caries risk
• Periodontal diagnosis
  
  • Active vs chronic perio
  • Full perio charting (.18 yr old)
  • Hx of perio surgery

Question 9

Mental and Social History includes 5

Answer 9

• Sports and activity
• External vs internal motivation
• Family/home support (compliance with treatment)
• Hx of ortho treatment
• Ortho treatment in parents and siblings

Question 10

Habits that need to be controlled first 4

Answer 10

• Bruxing
• thumb sucking
• nail biting
• tongue thrust
• Control habits first