Orthodontic Clincial Exam

Question 1

When is the right time for an orthodontic check up ?

Answer 1

No later than the age of 7 (already have posterior molars) (impacted canines take a long time, minimum 3 years)

Question 2

Can you treat a class III after age 9?

Answer 2

No you would have to wait until complete growth

Question 3

What is our goal?

Answer 3

Recognize orthodontic problems that should ideally be adresssed

Question 4

What is the purpose?

Answer 4

Develop a diagnostic database

Question 5

Order of clinical exam to tx plan

Answer 5

Clinical exam —> diagnostic database —> problem list —> TX objectives —> Tx plan

Question 6

Elements of the diagnostic database

Answer 6

Orthodontic clinical exam, orthodontic records

Question 7

Patient interview purpose

Answer 7

Establish chief complaint

Question 8

Macroesethetics

Answer 8

Frontal view
Profile view

Question 9

Frontal view

Answer 9

Facial thirds, symmetry

Question 10

Profile view

Answer 10

Lips, nose, chin relationship
(Convex, straight, concave)

Question 11

Miniesthetics

Answer 11

Amount of incisor and gingival display on smile
Buccal corridors

Question 12

Micro-esthetics

Answer 12

Tooth proportions
Black triangles
Tooth contacts

Question 13

Skeletal classification

Answer 13

Prognathic
Retrognathic
WNL

Question 14

Overjet

Answer 14

Horizontal distance of the upper incisor ahead of the lower incisors

Question 15

Negative overjet

Answer 15

Upper incisors are behind the lower incisors
Class III

Question 16

Overbite

Answer 16

Vertical distance, the upper incisors overlap the lower incisors

Question 17

Crossbite

Answer 17

Upper back teeth fit inside lower teeth

Question 18

Crowding

Answer 18

Upper and or lower teeth are crowded

Question 19

Deep bite

Answer 19

Upper front teeth cover lower front teeth too much

Question 20

Excess spacing

Answer 20

Excess space between teeth

Question 21

Mid line misalignment

Answer 21

Mid-lines of upper and lower arches do not line up

Question 22

Open bite

Answer 22

Back teeth are together with space between the front teeth

Question 23

Underbite

Answer 23

Lower front teeth protrude

Question 24

Radiographs evaluate

Answer 24

AP and vertical relationship
Skeletal and dental
Growth status - do different to during different stages of growth

Question 25

Panoramic

Answer 25

Dental development and eruption
Identification of missing teeth
Presence of pathology