Diagnosis and treatment planing in orthodontics

1. Diagnosis and
treatment
planning

2.  Problem oriented approach
 Patient’s perceptions and doctor’s
observations

3. Diagnosis
 Development of an adequate diagnostic
data base
 Formulation of problem list from data
base
 Pathologic problems in priority
 Developmental problems

4. Treatment planning
 4 important issues
1. The timing of treatment
2. The complex of treatment
3. Predictability
4. Patient’s desire’s

5.  GOLDEN TIME FOR TREATMENT :
Adolescence as the last permanent teeth
are erupting
 Sufficient growth remaining
 Psychosocial aspects

6. Sequence for treatment
planing
1. Prioritization
2. Possible solution for each problem
3. Evaluating possible interaction between
solutions
4. Alternative treatment approaches
5. Determination of a final treatment plan

7. Orthodontic diagnosis : the
problem oriented approach

8.  Problem oriented approach
 Do Not focuse on one problem
 Needs database
1. Interview
2. Clinical examinations
3. Diagnostic records

9. interview
 Goal : patients
chief concern
 Obtain information
about:
1. History
2. Physical growth
status
3. motivations

11. Chief concern
 Major reasons for patient’s concerns:
1. Impaired dentofacial appearance
2. Impaired function
3. Impaired oral health

12. Medical history
 Developmental
problems
orthodontic
problems
 Condylar fractures
 Long-term
medications

13. Physical growth evaluation
 Questions
 Bone age from
vertebrae
 Hand-wrist RG
 THE MOST
ACCURATE : SERIAL
CEPHALOMETRIC

14. SOCIAL AND BEHAVIORAL
EVALUATION
 MOTIVATION
 EXTERNAL
 INTERNAL

15. THANK YOU FOR YOUR ATTENTION