Patient's assessment and record taking Flashcards
It is recommended to carry out diagnosis in a series of logical steps, what are they?
1-Development of adequate diagnostic database
2- Formulation of a problem list (the diagnosis) from the database.
Once a patient’s orthodontic problems have been identified and prioritized, four issues must be faced in determining the optimal treatment plan, what are they?
1-Timing of the treatment
2-complexity of the treatment
3-the predictability of success with a given treatment approach.
4-patients and parents objectives and goals
-For orthodontic purposes, the database may be thought of as derived from three major sources:
(1) interview data from questions (written and oral) of the patient (and parents, if appropriate);
(2) clinical examination of the patient; and
(3) evaluation of diagnostic records, including dental casts, radiographs, and photographs.
-There are three major reasons for patient concern about the alignment and occlusion of the teeth:
1-impaired dentofacial appearance
2-diminished sense of social well-being
3-impaired function
4-impaired oral health
5-improve the quality of life
Orthodontic problems are almost always the culmination of a developmental process, not the result of a pathologic condition.
There are two goals of the orthodontic clinical examination: what are they?
(1) evaluate and document oral health, jaw function, facial proportions, and smile characteristics
(2) decide which diagnostic records are required.
In Macroesthetic examination (the frontal view, one looks for what?
A- bilateral symmetry in the fifths of the face
B-proportionality of the widths of the eyes, nose, and mouth
Define facial index?
The proportional relationship of facial height to width
What does the facial index establishes?
1-the overall facial type and
2-the basic proportions of the face.
-The teeth protrude excessively if (and only if) two conditions are met:
(1) The lips are prominent and everted and
(2) the lips are separated at rest by more than 3 to 4 mm (which is sometimes termed lip incompetence).
excessive protrusion of the incisors is revealed by prominent lips that are separated when they are relaxed