Diagnostic Records Flashcards
Diagnostic records (4)
- lateral x ray
- panoramic
- Intra extra oral pictures
- Dental casts
“To diagnose all cases of malocclusion correctly it is necessary to know the ____ occlusion or the ideal position of the dental organs and normal facial lines. This knowledge is the basis of science and the most important thing for the Orthodontist”
Edward angle
normal
Ortho diagnosis must be done based on…
a thorough study of the patient and the problems they present, both bone and dental.
The time dedicated to the diagnosis will be the best spent, since a correct diagnosis represents ___ of the success of an orthodontic treatment.
80%
Ortho take care of:
- dx
- prevention
- interception
- tx of all malocclusion
- design, application and control of functional and corrective devices
- guide the eruption n supporting structures 4 optimal occlusion
The orthodontic diagnosis deals with recognition of the various characteristics of the malocclusion .
Based on:
• Patient interview.
• Clinical examination.
• Evaluation of the diagnostic records
“Steps” befour getting to the dx
Recognition of the problem
Problem formulation
Carry out the necessary exploration
Interpretation and presentation of the results
Diseases that contraindicate orthodontics
Osteoporosis
Cáncer
Diabetes
Rheumatic fever
Why is osteoporosis contraindicate?
Because the bifosfonato
Porque no hay esa remodelación ósea
Why is cancer contraindicate?
Cause the radioterapia
Altera el nivel de hueso
Why is diabetes contraindicate?
Limitation cause the periodontal disease
Why is rheumatic fever contraindicate?
Because of the antiinflamatorios - hace que no se inflame el ligamento periodontal, por lo que se ve limitado el movimiento dental
In the dental history is important to ask the age of __ n ___ and if there’s have been any ____
age at which the deciduous teeth erupted
age at which permanent teeth erupted
dental trauma
To make an adequate diagnosis in orthodontics it’s necessary to carry out a correct clinical ___ and a correct clinical ____ of the patient:
history
examination
On the first visit you should…
listen to the patient/parents to find out what things worry them or what they don’t like and would like to change.
The patient should be asked about the ____________________________________, consider whether the patient is receiving prolonged pharmacological Tx of any type and if so, determine the cause.
diseases they suffer or have suffered
Perform an examination of the patient’s oral cavity focusing attention on the dental __________________
bad positions and bite problems.
Assess the possible ___________ _____________ pathologies that must be resolved before beginning orthodontic treatment.
presence of cavities or periodontal disease
Once the examination is completed the patient must be guided about what their _______________ and how _______
main problems are and how we can solve them
However until an exhaustive study has been carried out with x-rays and models of the teeth, the treatment plan and its duration ___ be exactly determine
CAN OR CANNOT?
CANNOT
CÓMO se le llama a la mandíbula desviada?
Laterognacia
Dx process
- interview
- clinical examination
- analysis of dx records
- data base
- control before orthodontic tx
- list of dx problems
R
Dx records
- Identify the problems
- Formulate the diagnosis.
- Allow the correct development of the treatment.
Extra n intra oral images
May include ___ to supplement the clinical findings
Digital or video images
To assess the inter-arch and intra-arch relationship of the teeth, to help determine arch length and to assess arch symmetry.
Dental cast
To assess the condition and developmental status of the teeth and associated structures, and to identify any dental anomalies or pathology
Panoramic xray
Allow the evaluation of the size, shape, and positions of the craniofacial structures and dentition, and in the identification of skeletal anomalies or pathology.
Cephalometric x ray
May be used as an alternative source to obtain dentofacial information, but is not routinely required for orthodontic X-rays*.
Supernumerary, impacted canines, orthognatic surgery
Cone beam
Computer tomography
CBCT
asses the general condition of the hard and soft tissues of the mouth (including the periodontium) and the functional status of the patient’s occlusion.
open bite or close bite
Intra oral pictures
Determine facial shape, symmetry, soft tissue harmony and the state of the perioral muscles. This determines deviations from normal with respect to a patient’s sagittal, vertical, and transverse maxillofacial relationships and evaluates the relationship of the dentition and facial structures.
Extra oral pictures
Facial shape
Oval
Round
Square
Profile types
Straight
Convex
Concave
Maxilla and mandible in harmony
Profile type
Straight
maxilla projects too far forward or mandible too far back
Class II
Profile type:
Convex
maxilla too far back or mandible protrudes forward
Class III
Profile type:
Concave
