KESLING DIAGNOSTIC
SETUP
DEEPTHI P.R. IV YEAR BDS
CONTENTS
 Introduction
 Requirements
 Procedure
 Uses
 Conclusion
 Bibliography
INTRODUCTION
 Diagnosis
Correct determination, discrimination, estimation
& logical appraisal of conditions found during
...
INTRODUCTION
 Comprehensive database:
Case history
Clinical examination
Study casts
Radiographs
Photographs
 Diagnostic ...
DIAGNOSTIC SETUP
 H.D. Kesling (1956)
 Supplemental diagnostic aid
 Practical aid in treatment planning
 Derive maximu...
DIAGNOSTIC SETUP
 Individual teeth & associated alveolar
processes- sectioned off & replaced in desired
positions
 Simul...
REQUIREMENTS
 Well trimmed casts
 Fret saw with blades
 Modelling wax
 Wax knife
 Alcohol torch/ Spirit lamp
PROCEDURE
 Maxillary & mandibular study casts prepared
 Bases trimmed parallel to the occlusal plane
 Horizontal cuts m...
PROCEDURE
 Vertical cuts are made to separate individual
teeth
 All teeth except second & third molars are
removed
 Mes...
PROCEDURE
 Wax blocks placed in the slits formed while
cutting the teeth away
 Mandibular incisors arranged on the study...
PROCEDURE
 If the remaining space is inadequate to receive
the first molars extraction indicated
 Eliminate 1st premola...
USES
 TSALD – directly visualised
 Estimates if uprighting of the 2nd molars could
solve the arch length discrepancy
 V...
USES
 Borderline cases:
 Extraction / non extraction
 1st premolar or 2nd premolar
 Possible types of occlusal arrange...
CONCLUSION
 Diagnostic setup – very valuable diagnostic
aid
 Routine use - better treatment plan & patient
motivation
BIBLIOGRAPHY
 Textbook of Orthodontics- Gurkeerat
Singh, 2nd edition
 Orthodontics- The Art and Science- S.I.
Bhalajhi, ...
THANK YOU!!!!!
Kesling dagnostic setup
Kesling dagnostic setup
Kesling dagnostic setup
Kesling dagnostic setup
Kesling dagnostic setup
Kesling dagnostic setup
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Kesling dagnostic setup

  1. 1. KESLING DIAGNOSTIC SETUP DEEPTHI P.R. IV YEAR BDS
  2. 2. CONTENTS  Introduction  Requirements  Procedure  Uses  Conclusion  Bibliography
  3. 3. INTRODUCTION  Diagnosis Correct determination, discrimination, estimation & logical appraisal of conditions found during examination as evidenced by distinctive signs, marks & symptoms
  4. 4. INTRODUCTION  Comprehensive database: Case history Clinical examination Study casts Radiographs Photographs  Diagnostic aids: Essential & Supplemental
  5. 5. DIAGNOSTIC SETUP  H.D. Kesling (1956)  Supplemental diagnostic aid  Practical aid in treatment planning  Derive maximum clinical information  A set of trimmed & polished casts
  6. 6. DIAGNOSTIC SETUP  Individual teeth & associated alveolar processes- sectioned off & replaced in desired positions  Simulate the various planned tooth movements  Not necessary to coordinate with cephalometric tracing  Allowance for inevitable anchorage loss
  7. 7. REQUIREMENTS  Well trimmed casts  Fret saw with blades  Modelling wax  Wax knife  Alcohol torch/ Spirit lamp
  8. 8. PROCEDURE  Maxillary & mandibular study casts prepared  Bases trimmed parallel to the occlusal plane  Horizontal cuts made in the mandibular cast 3mm below the gingival margin using Fretsaw blade
  9. 9. PROCEDURE  Vertical cuts are made to separate individual teeth  All teeth except second & third molars are removed  Mesial & distal ends of roots of teeth are trimmed – seating in new position
  10. 10. PROCEDURE  Wax blocks placed in the slits formed while cutting the teeth away  Mandibular incisors arranged on the study cast at an angle of 65 degrees to the Frankfort Horizontal plane  Canines & premolars are placed in the correct contact relationships
  11. 11. PROCEDURE  If the remaining space is inadequate to receive the first molars extraction indicated  Eliminate 1st premolars from the setup & place 2nd premolars in contact with canine or perform incisor or proximal stripping  Maxillary teeth cut & repositioned in the wax setup articulating them with the mandibular setup
  12. 12. USES  TSALD – directly visualised  Estimates if uprighting of the 2nd molars could solve the arch length discrepancy  Visualizes complex orthodontic treatment  Possibility of aligning incisors
  13. 13. USES  Borderline cases:  Extraction / non extraction  1st premolar or 2nd premolar  Possible types of occlusal arrangement in abnormal occlusal problems  Patient can be motivated- simulating various corrective procedures
  14. 14. CONCLUSION  Diagnostic setup – very valuable diagnostic aid  Routine use - better treatment plan & patient motivation
  15. 15. BIBLIOGRAPHY  Textbook of Orthodontics- Gurkeerat Singh, 2nd edition  Orthodontics- The Art and Science- S.I. Bhalajhi, 4th edition  Textboook of Orthodontics- M.S. Rani, 3rd edition  Prep Manual for Undergraduates- Sridhar Premkumar
  16. 16. THANK YOU!!!!!
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