This document contains a diagnostic summary and treatment plan for an orthodontic case. It includes an assessment of the patient's skeletal, dental, and soft tissue features as well as the orthodontic problems. The treatment plan proposes comprehensive orthodontic treatment using fixed appliances to align and level the teeth, achieve ideal occlusion, and improve the patient's dental and skeletal relationships. Stability of the results is discussed and will depend on factors like growth, soft tissue correction, overjet control, and use of retainers.

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DIAGNOSTICSUMMARY
 Name: Age: Gender: Medical history: Presented with a Class ………. on a Class…. skeletal base with …………. vertical proportions. This is
complicated by (main features starting by intra-arch then inter-arch then soft tissue then main pathology)………………
EXTRA-ORALFEATURES
1. Skeletal Assessment
 Antero-posterior:
 Vertical:
 Transverse :
2. Soft tissue assessment:
 Lips competentency:
 Lip trap:
 NLA:
 LMA:
 Incisor show|:
 Profile in relation to E line
GENRALINTRA-ORALFEATURES
1. Oral hygiene:
2. Soft tissues:
3. Erupted teeth present:
4. General dental condition:
ORTHODONTICINTRA-ORALFEATURES
Lower Upper
 Arch shape
 Crowding and spacing
 Incisor inclination
 Canine angulation
 COS
ON OCCLUSION
 Incisor relationship:
 Overjet:
 Overbite:
 RHS: Canine- Class Molar-
 LHS: Canine- Class Molar-
 Transverse:Centrelines Posterior
 Mandibular displacementand deviation:
 Other occlusal features:

GENERALRADIOGRAPHICEXAMINATION
 Unerupted teeth:
 Teeth absent:
 Teeth of poor prognosis:
 Other relevant findings: always look at Xs
teeth and cyst or pathology
Cephalometric interpretation
Skeletal: SNA, SNB, ANB, MMPA
Dental: Upperand lower incisors inclination, interincisal
Soft tissue: Nasolabial angle,E plane.
ALWAYS UNDERLINE T HE ABNORMAILIT Y AS IT REPRESENT YOUR PROBLEM LIST
AIMS ANDOBJECTIVESOF TREATMENT (GENERIC)
1. Maintain good oral hygiene throughout orthodontic treatment
2. Treatment of pathology
3. Orthodontic camouflage accepting the Class skeletal pattern AND/OR Improve the skeletal relationship and facial profile by modifying and accelerating
the facial growth and maximize dentoalveolarcompensation AND/OR Soft tissue feactures correction including elimination of trapping

2. 2
4. Relief crowding
5. Level and align dental arches
6. Correct centre line
7. Normalise overjetand correct anterior cross bite
8. Achieve Class molars, canines and incisors
9. Normalise the overbite
10. Correct transverse problem
11. Space closure
12. Coordinate dental arches with good buccal interdigitation
13. Retain the corrected result

3. 3
TREATMENT PLAN
Requestconsultation advice or further records (If required)
Treatment of pathology (If required)
Oral hygiene instruction and tooth brushing (Always)
Orthodontic treatment phase (always)
 In class I: rememberexpansion
 In Class II D1: rememberTB, HG and distalisation, OSA
 In Class II D2: rememberdistalisation, non extraction
 In Class III: rememberwatchful waiting, RME, surgery, facial mask, extraction of lower
incisor
 In impacted canine: rememberRR and transplantation
 In heavy restored 6s: rememberextraction
 In traumatised 1s: remember transplantation and bone development
 In Adult: remember black triangle, bonding to non-dental surface, lingual and PD
 In AOB: considerextraction and in deep bite avoid extraction and bond 7s
 In Hypodontia:rememberclose space and permanent retainer and implant timing
 No treatment
 Watchful waiting
 Interceptive orthodontic
 Comprehensive orthodontic treatment (if class I) Orthodontic camouflage
(Class II and III)
 Orthopedic or function appliance (to improve the skeletal relationship and
facial profile by modifying and accelerating the facial growth and
maximize dentoalveolarcompensationand reducing the overjet, overbite
and correct the buccal segment relationship and helping in reducing the
anchorage demand in the second stage of FA treatment)
 Combined orthodontic-surgical approach
 Compromised treatment
Then reassess (If required)
Then finish with fixed appliances to details the occlusion (if required). You should
mentioned:
 Type of fixed appliance (Tip edge or edgewise)
 Slot size and Bracket prescription
Extractions or non-extraction or therapeutic diagnosis (Always)
Special anchorage requirements and how TPA, NANCE, TADs, HG
Adjunctive appliance: RME, etc.
Additional dental treatment Always (Routine oral hygiene reviews, attendance for regular check-ups with
general dental practitioner) and other like Build up teeth,
Proposed retention strategy in both arches
T hen talk about progress of treatment and start with bracket set-up, alignment, leveling, space closure and finishing

4. 4
Always remember that prognosis for stability depend on:
A. Any skeletal change depends on
 Favourable growth
 Stable changes
 No posturing
B. Soft tissue correction specially the lip trap depend on
 Correct U incisor relationship to lower lip
C. Overjet correction depends
 On the control of the lower lip in class II
 Normal positive OJ in class III
 Permanent retainer
D. Proclination of the lower labial segmentaway from the starting inclination would be
 Permanent retainer
 Within the exception of Mills
 For aesthetic reasonbetter to be within A-Pog line
E. Overbite correction is to be maintained by
 An improvement in the interincisal angle
 The creations of a positive upper root centroid to lower incisor tip relationship.
 Active retainer (URA)
F. Buccal and transverse relationship maintained by
 Interdigitated occlusion
 Avoidance of changing the width of the arch
 Correct torque
 Permanent retainer