Orthodontics

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Orthodontics

  1. 1. APPENDIX I ORTHODONTICS SPECIALTY BOARD ACADEMY OF MEDICINE, SINGAPOREDATE OF EXAMINATION:CASE NUMBER :PATIENT’S INITIALS :CASE SUMMARY[A brief description of the case, maximum 100 words]PRE-TREATMENT PHOTOGRAPHS: EXTRA-ORAL[Attach frontal and profile photographs to this page]PRE-TREATMENT PHOTOGRAPHS: INTRA-ORAL[Attach anterior, left and right intraoral photographs to this page]PATIENT DETAILSInitials:Sex:Date of birth:Age at start of treatment:RELEVANT MEDICAL HISTORY
  2. 2. CLINICAL EXAMINATION: EXTRA-ORAL FEATURESCLINICAL EXAMINATION: INTRA-ORAL FEATURESSoft tissues:Oral hygiene:Erupted teeth present:Unerupted teeth presentGeneral dental condition:CROWDING / SPACINGOCCLUSAL FEATURESIncisor relationship:Overjet (mm):Overbite:Centrelines:Left buccal segment relationship:Right buccal segment relationship:Crossbites:Displacements:Other occlusal features:GENERAL RADIOGRAPHIC EXAMINATIONRadiographs taken:Other relevant radiographic findings:
  3. 3. CEPHALOMETRIC TRACING: PRE-TREATMENT[Attach cephalometric tracing]
  4. 4. CEPHALOMETRIC ANALYSISVARIABLE PRETREATMENT NORMALSNA 82° ± 3SNB 79° ± 3ANB 3° ± 1Wits appraisal 0 mmUpper incisor to maxillary plane angle 108° ± 5Lower incisor to mandibular plane angle 92° ± 5Interincisal angle 133° ± 10Maxillary mandibular planes angle 27° ± 5Upper anterior face heightLower anterior face heightFace height ratio 55%Lower incisor to APo line 0-2 mmLower lip to Ricketts E Plane -2 mmSources of normal values: Jacobson (1975) Am J Orthod. 67:125-133.Houston WJB, Stephens CD & Tulley WJ (1992)A textbook of orthodontics. Wright, Oxford
  5. 5. ADDITIONAL CEPHALOMETRIC ANALYSIS (OPTIONAL)[Where an additional analysis is used, provide clear definitions of the measurementstogether with means and standard deviations]INTERPRETATION
  6. 6. DIAGNOSTIC SUMMARYPROBLEM LIST [Add as few or as many as are appropriate to the case]1.2.3.4.5.6.RATIONALE FOR TREATMENT[Add as few or as many as are appropriate to the case]1.2.3.4.5.6.TREATMENT PLAN
  7. 7. KEY STAGES IN TREATMENT PROGRESS[Provide a brief summary of approximately 8 - 10 key stages in the treatment sequence] DATE STAGE1.2.3.4.5.6.7.8.OBJECTIVE ASSESSMENT OF PROGRESS AND PROGNOSISOCCLUSAL INDICES [This section is optional]INDEX PARAMETER VALUEIndex of Treatment Need Dental Health Component Start Finish Aesthetic Component Start FinishPeer Assessment Rating (PAR) Start Finish Change % Change
  8. 8. POST-TREATMENT PHOTOGRAPHS: EXTRA-ORAL[Attach frontal and profile photographs to this page]
  9. 9. POST-TREATMENT PHOTOGRAPHS: INTRA-ORAL[Attach anterior, left and right intraoral photographs to this page]
  10. 10. CEPHALOMETRIC ASSESSMENT (where appropriate)VARIABLE POSTTREATMENT CHANGESNASNBANBWits appraisalUpper incisor to maxillary plane angleLower incisor to mandibular plane angleInterincisal angleMM angleUpper anterior face heightLower anterior face heightFace height ratioLower incisor to APo lineLower lip to Ricketts E Plane
  11. 11. ADDITIONAL ANALYSIS (OPTIONAL)INTERPRETATION
  12. 12. CEPHALOMETRIC SUPERIMPOSITION (where appropriate)Overall superimposition, registered on Sella-Nasion line at Sella
  13. 13. CEPHALOMETRIC SUPERIMPOSITION (where appropriate)Maxillary and mandibular superimposition [Please state registration landmarks] Back to Main Page

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