Orthodontic diagnosis

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Indian dental academy

Education

NORMAL OCCLUSION VS. MALOCCLUSION
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The first step towards cure is to know what the
disease is.
- Latin proverb
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ANDREWS’ 6 KEYS
OF NORMAL
OCCLUSION
ROTH’S KEYS OF
FUNCTIONAL
OCCLUSION
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MALOCCLUSION
SAGITTAL
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CLASSIFICATION OF
MALOCCLUSION
SKELETAL : Discrepancy in the size or
positioning of maxilla and / or mandible
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DENTAL :
crowding
deep bite
open bite
spacing
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FUNCTIONAL :
Functional interferences ,
habits , etc.
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DIAGNOSING AN ORTHODONTIC
PROBLEM
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CASE HISTORY
Prenatal and Natal history
Placental transfer of drugs
Forceps injury,
Congenital anomalies
Childhood medical history
Respiratory obstruction
Tonsillectomy,
Childhood diseases,
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History of habits :
Thumb sucking , tongue thrusting , lip and
nail biting , mouth breathing .
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Family history :
Genetic influence on malocclusion
Maturational status :
Increase in height ,
Change of voice in males ,
Menarche in females .
Past dental history :
Caries, Restorative treatment, Extraction of
deciduous / permanent teeth , periodontal
problems , history of trauma .
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CLINICAL EXAMINATION
General examination :
Gait
Posture
Body type
Height
Weight
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EXAMINATION OF THE HEAD REGION
FRONTAL EXAMINATION :
Proportionality
Symmetry
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TEMPOROMANDIBULAR JOINT
EXAMINATION :
TMJ movements , clicking , tenderness
MANDIBULAR MOVEMENTS :
Opening , protrusion , lateral excursions ,
deviations
MUSCLE EXAMINATION :
Temporalis , masseter , medial and lateral
pterygoids
TONGUE :
Crenations , size
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INTRA ORAL EXAMINATION :
Oral hygiene
Teeth present
Arch form
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In occlusion :
Incisor , canine , molar relationships
Overjet and overbite
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Frenal attachment
Gingiva
Visible pathology , missing teeth , over-
retained deciduous teeth
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DIAGNOSTIC AIDS
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RADIOGRAPHS
OPG
HANDWRIST
IOPAs
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LATERAL CEPHALOGRAMS
TRACING
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OTHER RADIOGRAPHS :
PA cephalogram
Facial asymmetry
TMJ radiographs
Specific Intra-oral
radiographs
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STUDY MODELS
PHOTOGRAPHS
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FACTORS INFLUENCING
TREATMENT PLANNING
AGE
TREATMENT
MODALITY
Growth Modulation
Orthodontic
Surgical
www.indiandentalacademy.com

ORTHODONTICS IN ADJUNCT WITH :
Periodontics
Prosthodontics
Restorative ( conservative and endodontic
treatment )www.indiandentalacademy.com

If we could first know where we are
and whither we are tending , we could
better judge what to do and how to do it
.
www.indiandentalacademy.com

THANK YOUTHANK YOU
www.indiandentalacademy.com

The document discusses the history and evolution of lingual orthodontics, describing the development of various lingual bracket systems from the 1970s to present. It covers key topics like patient selection, diagnostic considerations, bonding techniques, biomechanics, and keys to success with lingual therapy. Lingual orthodontics offers aesthetic benefits over labial appliances but also presents certain challenges in terms of treatment complexity and costs.

Edgewise appliance

Astha Patel

The document describes the edgewise orthodontic technique, which was developed in 1925 by Dr. Edward Angle. It involves inserting a rectangular archwire into brackets placed on the front (buccal/labial) of the teeth. The wire fits into a bracket slot measuring 0.022” x 0.028” with tie wings. Bracket placement positions on the teeth are also specified. The technique uses archwires of varying sizes to move teeth in three planes and for other purposes like anchorage preparation. It allows for good control of tooth movement but can cause more discomfort and root resorption compared to other methods due to heavier forces.

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Welcome to Indian Dental Academy The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats. Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients State of the art comprehensive training-Faculty of world wide repute &Very affordable.

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This document provides an overview of lingual orthodontics. It discusses the history and evolution of lingual appliance designs. Several popular lingual bracket systems are described, including their key features. Considerations for patient selection, diagnosis, and treatment with lingual appliances are outlined. The document also reviews advantages and disadvantages of lingual orthodontics, as well as changes induced by lingual treatment. Placement of lingual brackets and techniques are also summarized.

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This document discusses various methods for opening a deep bite through intrusion or extrusion of incisors and posterior teeth. It describes Burstone's principles of intrusion using light continuous forces and sequential movement. Cetlin's intrusion arch and Mulligan's appliance are explained. Utility arches are discussed as a versatile way to intrude and align segments. The three-piece intrusion base arch is presented as a way to simultaneously intrude and retract flared incisors through segmented mechanics while controlling force direction along the tooth axis.

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This document provides an overview of practice management for orthodontics. It discusses setting up an orthodontic office, including considerations for office location, physical layout, and personnel. Effective practice management requires attention to site planning, office design, marketing, and staffing the office with qualified individuals. The goal is to create an environment that makes patients comfortable and improves case acceptance.

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Roth philosophy

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The document discusses Ronald Roth's modifications to the Andrews Straight Wire Appliance philosophy and treatment approach. Roth started using the Andrews appliance in 1970 and later modified the bracket prescription based on his clinical experience. Some key differences between Andrews and Roth include Roth allowing more tipping of teeth initially and building overcorrection into the brackets to account for relapse. Roth also placed more emphasis on achieving a gnathological occlusion goal versus Andrews' focus on anatomical tooth positions. The document outlines Roth's bracket placement, prescription, and rationale for his modifications to the straight wire appliance.

preadjusted edgewise appliance

Dr. Khushbu Agrawal

The document discusses the history and evolution of fixed orthodontic appliances, leading to the development of the pre-adjusted edgewise appliance. It describes Lawrence Andrews' research which identified six keys to optimal occlusion based on measurements of untreated dental casts. His studies found that traditional edgewise appliances did not achieve optimal occlusion in most treated cases. This led to the concept of a fully programmed pre-adjusted edgewise appliance that would incorporate his findings on natural tooth morphology and positioning.

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats. Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics, Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call 0091-9248678078 The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats. Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics, Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call 00919248678078

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Bjorks analysis

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This document summarizes Bjork's analysis, a method developed by orthodontist Arne Bjork to analyze craniofacial growth and development using lateral cephalograms. It describes Bjork's landmarks, angular and linear measurements used to construct a facial diagram. Bjork conducted studies on Scandinavian children to establish norms for comparison. His analysis helps determine the amount and distribution of facial prognathism based on configurations in the facial diagram.

finishing and detailing in orthodontics

Jasmine Arneja

The document discusses factors that should be considered in the finishing and detailing stage of orthodontic treatment. It covers 17 factors identified by Dougherty, including correcting overjet/overbite, establishing correct tip and torque of anterior teeth, coordinating arch widths, establishing marginal ridge relationships and contact points. It also discusses esthetic procedures like gingival zenith and missing laterals, as well as periodontal procedures like supracrestal fibrotomy. The document provides guidelines for finishing based on ABO requirements, including overjet of 1-3mm and buccolingual tooth inclinations within 1mm of a straight edge. Positioners are also discussed for settling the occlusion at the finishing stage.

Bracket positioning

Maher Fouda

This document discusses different guidelines for determining the vertical position of orthodontic brackets. It begins by outlining Angle's initial proposal to place bands at the center of the tooth surface and discusses subsequent modifications by Edgewise and Begg appliances. It then examines guidelines proposed by Andrew, Roth, Alexander, Bishara, and McLaughlin/MBT. Each approach has limitations in addressing individual tooth variations. The document concludes by describing Kalange's method, which uses marginal ridge lines and measurements from molars and premolars to determine bracket heights aimed at leveling marginal ridges.

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Orthodontic diagnosis

Manish Kumar

Orthodontic diagnosis

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The document discusses orthodontic diagnosis and the various diagnostic aids used. It describes that diagnosis involves case history, clinical examination, study models, radiographs, and photographs. The diagnostic aids are categorized as essential (case history, clinical exam, study models, radiographs) and supplemental (specialized radiographs, EMG, hand wrist radiographs, etc.). It provides details on components of case history, clinical examination including extraoral and intraoral assessment, and functional examination.

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I. The orthodontic examination involves gathering data about a patient's case to determine the presence or absence of any dentofacial abnormalities. This includes collecting a patient history and performing a clinical examination. II. The clinical examination consists of extra-oral and intra-oral assessments to evaluate the patient's soft tissues, teeth, dental arch relationships, and functional behaviors. Malocclusions are classified based on anteroposterior, vertical, and transverse dental arch relationships. III. The orthodontic examination thoroughly documents the patient's chief complaint, medical history, dental history, facial aesthetics, dental occlusion, and oral functions to establish the nature of any dentofacial deformities.

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Classification of malocclusion (4)

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This document discusses the classification of malocclusions. It begins with an introduction to orthodontics and the definition of normal occlusion versus malocclusion. It then discusses various ways malocclusions can be categorized, such as by etiology. The document focuses on Angle's classification system of Class I, Class II, and Class III malocclusions based on the molar relationship. It also discusses modifications to Angle's system proposed by others. The document provides an overview of several other classification systems and concludes with limitations of classification systems.

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This document discusses contacts and contours of teeth. It defines contact areas and contours, and describes their locations on different types of teeth. It classifies teeth shapes as tapering, ovoid, or square, and describes the characteristics of each. Proper reproduction of features in dental restorations is important to avoid hazards like food impaction or periodontal issues. Tooth movements and matrices are procedures to help form proper contacts and contours during restorative procedures.

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This document provides an overview of the classification of malocclusions. It begins with definitions of key terms like occlusion, ideal occlusion, normal occlusion, and malocclusion. It then discusses the need for classifying malocclusions to aid in diagnosis and treatment planning. The major types of malocclusions covered are intra-arch, inter-arch, and skeletal malocclusions. Several classification systems are then described in detail, including Angle's classification, Dewey's modification, Lischer's modification, Bennett's classification, and the Ackerman-Profitt system. The classifications are based on factors like the molar relationship, sagittal, vertical and transverse discrepancies, dental arch alignment, and incisor relationships.

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1. The document outlines Dr. Mohammed Almuzian's process for orthodontic diagnosis, which involves gathering information from the patient's medical history, dental history, clinical examination, and diagnostic records. 2. The clinical examination includes assessing the patient's facial profile, smile, dental alignment, occlusion, and temporomandibular joint from frontal, lateral, and intraoral views. 3. Diagnostic records like dental casts, radiographs, and photographs are evaluated to aid in diagnosis, treatment planning, monitoring treatment, and for legal and teaching purposes. Storage of records for at least 11 years is recommended.

Classification of malocclusion in orthodontics

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This document provides an overview of classifications of malocclusion according to Andrew's six keys to normal occlusion and Angle's classification system. It describes normal occlusion and different types of malocclusions, including intra-arch and inter-arch malocclusions in the sagittal, vertical, and transverse planes. Intra-arch malocclusions involve issues like rotations, displacements, and inclinations of individual teeth. Inter-arch malocclusions are classified as Class I, II, or III based on the relative positions of the molars and include subclasses that describe overjet.

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The document provides guidance on orthodontic diagnosis and treatment planning. It outlines the key steps in the diagnostic process, which include obtaining a patient history, performing a clinical examination, analyzing diagnostic records, classifying the malocclusion, developing a problem list, and formulating a treatment plan. The clinical examination involves assessing both extraoral and intraoral structures to identify abnormalities. The goals of orthodontic treatment are discussed as functional efficiency, structural balance, and esthetic harmony. An accurate diagnosis is emphasized as the foundation for providing appropriate orthodontic care.

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This document discusses the etiology of malocclusion. It begins by defining etiology and malocclusion. Genetics and hereditary factors play an important role in malocclusion, with traits being passed down in autosomal dominant or recessive manners. Environmental factors like habits, trauma, diseases and nutrition can also influence malocclusion development. The document reviews several classification systems for categorizing etiological factors, including those proposed by White and Gardiner, Salzmann, Moyer and Graber. General factors discussed include heredity, congenital defects, environment, metabolism, habits, while local factors include tooth anomalies, eruption issues and dental caries.

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Orthodontic diagnosis

1. ORTHODONTIC DIAGNOSIS www.indiandentalacademy.com

2. www.indiandentalacademy.com

3. NORMAL OCCLUSION VS. MALOCCLUSION www.indiandentalacademy.com

4. The first step towards cure is to know what the disease is. - Latin proverb www.indiandentalacademy.com

5. ANDREWS’ 6 KEYS OF NORMAL OCCLUSION ROTH’S KEYS OF FUNCTIONAL OCCLUSION www.indiandentalacademy.com

6. MALOCCLUSION SAGITTAL www.indiandentalacademy.com

7. VERTICAL www.indiandentalacademy.com

8. TRANSVERSE www.indiandentalacademy.com

9. CLASSIFICATION OF MALOCCLUSION SKELETAL : Discrepancy in the size or positioning of maxilla and / or mandible www.indiandentalacademy.com

10. DENTAL : crowding deep bite open bite spacing www.indiandentalacademy.com

11. FUNCTIONAL : Functional interferences , habits , etc. www.indiandentalacademy.com

12. DIAGNOSING AN ORTHODONTIC PROBLEM www.indiandentalacademy.com

13. CASE HISTORY Prenatal and Natal history Placental transfer of drugs Forceps injury, Congenital anomalies Childhood medical history Respiratory obstruction Tonsillectomy, Childhood diseases, www.indiandentalacademy.com

14. History of habits : Thumb sucking , tongue thrusting , lip and nail biting , mouth breathing . www.indiandentalacademy.com

15. Family history : Genetic influence on malocclusion Maturational status : Increase in height , Change of voice in males , Menarche in females . Past dental history : Caries, Restorative treatment, Extraction of deciduous / permanent teeth , periodontal problems , history of trauma . www.indiandentalacademy.com

16. CLINICAL EXAMINATION General examination : Gait Posture Body type Height Weight www.indiandentalacademy.com

17. EXAMINATION OF THE HEAD REGION FRONTAL EXAMINATION : Proportionality Symmetry www.indiandentalacademy.com

18. PROFILE EXAMINATION : Straight , Convex , Concave Lip competence , protrusion , lip trap Incisor exposure Nasolabial and mentolabial sulci Swallow : normal or tongue thrust www.indiandentalacademy.com

19. TEMPOROMANDIBULAR JOINT EXAMINATION : TMJ movements , clicking , tenderness MANDIBULAR MOVEMENTS : Opening , protrusion , lateral excursions , deviations MUSCLE EXAMINATION : Temporalis , masseter , medial and lateral pterygoids TONGUE : Crenations , size www.indiandentalacademy.com

20. INTRA ORAL EXAMINATION : Oral hygiene Teeth present Arch form www.indiandentalacademy.com

21. In occlusion : Incisor , canine , molar relationships Overjet and overbite www.indiandentalacademy.com

22. Frenal attachment Gingiva Visible pathology , missing teeth , over- retained deciduous teeth www.indiandentalacademy.com

23. DIAGNOSTIC AIDS www.indiandentalacademy.com

24. RADIOGRAPHS OPG HANDWRIST IOPAs www.indiandentalacademy.com

25. LATERAL CEPHALOGRAMS TRACING www.indiandentalacademy.com

26. OTHER RADIOGRAPHS : PA cephalogram Facial asymmetry TMJ radiographs Specific Intra-oral radiographs www.indiandentalacademy.com

27. STUDY MODELS PHOTOGRAPHS www.indiandentalacademy.com

28. FACTORS INFLUENCING TREATMENT PLANNING AGE TREATMENT MODALITY Growth Modulation Orthodontic Surgical www.indiandentalacademy.com

29. ORTHODONTICS IN ADJUNCT WITH : Periodontics Prosthodontics Restorative ( conservative and endodontic treatment )www.indiandentalacademy.com

30. CONCLUSION www.indiandentalacademy.com

31. If we could first know where we are and whither we are tending , we could better judge what to do and how to do it . www.indiandentalacademy.com

32. THANK YOUTHANK YOU www.indiandentalacademy.com

Orthodontic diagnosis

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