iotn for ore

1. RULER IS A QUICK TOOL
TO STANDERISE ORTHO PROBLEM
SCORING IS IMPORTANT FOR
RECORDING AND REFFERING
ZAHID AHMAD

2. Aesthetic Component
Method of recording aesthetic component:
1, Ask pt to close teeth on posteriors
2. Retracted lips
3. Grade overall attractiveness of anterior teeth
rather then specific morphological similarities
to photographs
4. Fist impression is usually correct
5. Focus is to differentiate those at 8-10 then
DEFINITVE NEED OF TREETMENT
ZAHID AHMAD

3. Dental Health Component
(DHC)
DEFINITVE NEED OF
TREETMENT
NO NEED OF
TREETMENT
• NT
ZAHID AHMAD

4. CLINICAL SIGNIFICANT
ZAHID AHMAD

5. Recording the DHC
1. Examine using MOCDO
Scale
2. As soon as DNT
reached examination stopped
3. IOTN Ruler is required
ZAHID AHMAD

6. MOCDO
The Subject is examined for 5
specific conditions and if one is
found a DNT is recorded and no
further condition is sought
Method:
Examine each subject for:
MOCDO
Missing
Over jet
Cross bite
Displacement of “Contacts Points”
(of two most imbricate teeth)
Overbite
ZAHID AHMAD

7. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
D Displacement
e Lat/Ant Open Bite
f Over Bite
G Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

8. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
D Displacement
e Lat/Ant Open Bite
f Over Bite
G Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

9. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
D Displacement
e Lat/Ant Open Bite
f Over Bite
G Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

10. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
d Displacement
e Lat/Ant Open Bite
f Over Bite
G Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

11. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
d Displacement
e Lat/Ant Open Bite
f Over Bite
G Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

12. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
d Displacement
e Lat/Ant Open Bite
f Over Bite
G Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

13. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
d Displacement
e Lat/Ant Open Bite
f Over Bite
g Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

14. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
D Displacement
e Lat/Ant Open Bite
f Over Bite
g Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

15. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
d Displacement
e Lat/Ant Open Bite
f Over Bite
g Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

16. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
d Displacement
e Lat/Ant Open Bite
f Over Bite
g Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

17. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
d Displacement
e Lat/Ant Open Bite
f Over Bite
g Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

18. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
d Displacement
e Lat/Ant Open Bite
f Over Bite
g Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

19. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
d Displacement
e Lat/Ant Open Bite
f Over Bite
g Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

20. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
d Displacement
e Lat/Ant Open Bite
f Over Bite
g Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

21. ZAHID AHMA
a Positive Overjet
b Reverse Overjet
c Cross Bite
d Displacement
e Lat/Ant Open Bite
f Over Bite
g Pre/Post Normal Half a unit
h Hypodontia
i Impeded Eruption
l post Lingual coss bite/Scissor.
m Masticatory /speech problem
p Palate /Lip Cleft
s Submerged
t Tipped and impacted against adj. teeth

22. LAND MARKS
ZAHID AHMAD

24. APPLYING THE RULER
ZAHID AHMAD

25. ?
ZAHID AHMAD

26. ZAHID AHMAD

27. LETS TRY MOCDO
DNT nt
M MISSING TEETH 5p,5i,5h,4h, 5s,
O Positive Overjet 5a,4a, 3i,2a,
Reverse Overjet 5m,4m,4b , 3b
C Cross Bite 4c 3c,2c,
D Displacement 4l, 4d, 3d,2d,
O Overbite 4e,4f, 2e,3e
ZAHID AHMAD

28. QUESTIONS WELCOME.
TRY IT YOURSELF
ZAHID AHMAD