Treatment planning /certified fixed orthodontic courses by Indian dental academy


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The Indian Dental Academy is the Leader in

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in all aspects of dentistry and offering a wide

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Indian dental academy provides dental crown &

Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit ,or call

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Treatment planning /certified fixed orthodontic courses by Indian dental academy

  1. 1. DIAGNOSIS & TREATMENT PLANNING INDIAN DENTAL ACADEMY Leader in continuing dental education
  2. 2. INTRODUCTION: Diagnosis and treatment planning are problem oriented approaches. Diagnosis - collection of adequate data base. - goal of scientific enquiry. - no room for opinion or judgment plan – synthesize best possible solution - plan that a prudent and wise clinician makes. - cannot be science alone.  Treatment
  3. 3. Importance of diagnostic steps in treatment planning Case History: Age – growth estimation – type of appliance Chief Complaint Medical History General Examination: weight, built
  4. 4. Facial profile, head shape and arch forms
  5. 5. Facial and Dental Appearance: Macro esthetics
  6. 6. MINI ESTHETICS Gingival display Smile arc Buccal corridors
  7. 7. MICRO ESTHETICS Tooth proportions Gingival shape and contour Embrasures
  8. 8.  Treatment plan is an outline of all the measures that can be instituted for a patient so as to offer maximum, long term benefits.
  9. 9. NEED FOR TREATMENT Indications of orthodontic treatment: 1) Remove or at least alleviate the social handicap. 2) Enhance dental and facial appearance. 3) Maintain normal developmental process. 4) Improve jaw functions and correct functional problems. 5) Reduce the impact on dentition of trauma or disease. 6) Facilitate other dental treatment.
  10. 10. Treatment Goals Primary goal of treatment is the soft tissue relationships and adaptations. In order to provide maximum benefit to the patient , ideal occlusion cannot always be the major focus of treatment plan.
  11. 11.  Secondary goal of treatment becomes functional occlusion.  Harmony of the occlusion with the temporomandibular joint.
  12. 12.
  13. 13. Planning comprehensive orthodontic treatment: 1) Seperation of pathological and developmental problems 2) Priorities for the problem list 3) Treatment possibilities 4) Factors in evaluating treatment planning 5) Development of alternative treatment approaches 6) Determination of final treatment concept 7) Selection of specific treatment approach
  14. 14. Pathologic vs. Developmental Problems  An important principle is that a patient does not have to be in perfect health to have orthodontic treatment  Even when pathologic problems are mild, they must not be overlooked in the treatment plan
  15. 15. Setting Priorities for the Orthodontic Problem List:  Priority order - most important single step.  It is always difficult for the clinician to avoid imposing his or her own feelings at this stage, and it is not totally inappropriate to do so.  But ignoring the patient's chief complaint can lead to serious errors in planning treatment.
  16. 16. Treatment Possibilities:  The next step in the planning process is to list the possibilities for treatment of each of the problems, beginning with the highest priority problem.
  17. 17.
  18. 18. Factors in Evaluating Treatment Possibilities Interaction Among Possible Solutions: Some possible solutions to a high-priority problem would also solve other problems, while others would not and might even make other things worse. Compromise:  In patients with many problems, it may not be possible to solve them all. This type of compromise has nothing to do with the clinician's skill.
  19. 19. Cost-Risk/Benefit Analysis:  Practical considerations related to the difficulty of various treatment procedures compared with the benefit to be gained from them also must be considered in evaluating treatment possibilities. Other Considerations:  At this stage, it is important to take into account any pertinent special considerations about the individual patient.
  20. 20. Patient-Parent Consultation: Obtaining Informed Consent  From an ethical perspective, patients have the right to determine what is done to them in treatment, and increasingly they demand that right. It is unethical not to inform patients of the alternatives, including the likely outcome of no treatment, that are possible in their case.
  21. 21. Common Malocclusions: Deep bite Open bite Cross bite Class II Class III
  22. 22. Deep Bite: Treatment modalities  Lip relationship  Vertical facial relationship  Inter occlusal space
  23. 23. During growth period
  24. 24. Anterior bite plane
  25. 25. Deep bite in adults  use of anchorage bends  Arch wires with reverse curve of spee  Mini screw implants  Severe cases surgery
  26. 26. Open Bite:  removal of cause : habit breaking appliance
  27. 27. Myofunctional:  vertical chin cup  Fr-IV  Modified activator
  28. 28. Fixed appliance Surgical correction
  29. 29. Cross Bite developing cross bite – Tongue blade  Catalan's appliance  Removable appliance with Z spring  cross bite elastics  skeletal cross bites – face mask, chin cup  Anterior
  30. 30. Class 2 malocclusion Growing Skeletal class2 Maxillary progna Head gear Maxill progn and mand retro Head gear and myofunc tional Non Growing Dental class 2 Skeletal class 2 Mild to moderat e Mandibula r retrogn Myofunc tional therapy Dental class 2 Orthodo ntic treatmen t as needed severe Max prognath ism Mand retrognat hism Surgical maxillary set back camoflag e Surgical mand advancem nt
  31. 31. Class III Growing Skeletal Cl III Max retro Face mask Max retro & mand prog Face mask & chin cup Non Growing Dental Cl III Dental Cl III Skeletal Cl III severe camouflag e Mand prog Mild to moderate Max retro or mand prog surgery Chin cup
  32. 32. Treatment plan should be re-evaluated at regular intervals during active phase of treatment.  This to confirm whether the objectives set up are being fulfilled. Changes might have to be made in the treatment plan if desired changes are not taking place or if unforeseen problems arise
  33. 33. Thank you For more details please visit