Treatment planning new
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This document discusses treatment planning in orthodontics. It begins by defining treatment planning and outlining its goals, which include achieving functional occlusion, jaw function, and aesthetics. It then describes the logical sequence of treatment planning, which involves prioritizing problems, considering treatment possibilities, evaluating interactions, and developing alternative plans while considering risks and costs. Key aspects of treatment planning discussed include pathological versus developmental problems, setting treatment priorities, evaluating treatment possibilities, compromising when goals cannot all be fully achieved, and the importance of timing treatment appropriately based on a patient's age. The document also outlines principles of orthodontic triage and maximizing esthetic outcomes at both the macro and micro levels.
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Treatment planning new
- 1. Treatment Planning Dr. Priyal Billaiya
- 2. Contents Concept Goals Sequence of Treatment Planning Tx Possibilities Critical Issues in Tx Planning Orthodontic Triage Child Adult Timing of Treatment
- 3. Treatment Planning Maximum Esthetic Improvement Macro Mini Micro Special Circumstances References
- 4. Concept Treatment Planning - is an act or process of analyzing, making or carrying out a series of method to come up with a solution on how an existing problem can be solved. Concept - are formed thoughts or ideas.
- 8. Need for Tx Planning Missed Opportunity • False Negative • Under Treatment Excessive Treatment • False Positive • Over Treatment To Avoid
- 9. Logical Sequence of Tx Planning Prioritization Of problems Consideration Of possibilities Evaluation Of interaction among possibilities Development Of alternative Tx plan with risk/benefit, cost consideration Determination Of final Tx Concept Sequence
- 10. Sequence Graber Vig & Vanarsdall – 4th
- 11. Pathological vs Developmental Problems Pathological problems are addressed first Pathological Problem Systemic disease Oral pathology :: Periodontal lesion Restorations Developmental or Orthodontic Problem
- 12. Setting Priorities Patient’s orthodontic problems in priority order Why ? Important step Maximize benefit Tx plan focus Patient’s concern or chief complaint
- 13. Tx Possibilities Treatment Possibilities Different methods or ways to achieve the goal Alternate plan Potential solutions Proffit said : “Sometimes an alternate approach would be better, but is overlooked unless a conscious effort is made to keep an open mind”
- 14. Example Proffit – 4th edi
- 15. Example Proffit – 4th ed
- 16. Factors in Evaluating Tx Possiblities Envelop of Discrepancy Interaction among Possible solutions Compromise Cost Risk / Benefit Analysis
- 17. Envelop of Discrepancy Correction of Malocclusion Tooth movement Alone Tooth Movement + Orthopedic Appliance Orthognathic Surgery Ref: GVV
- 18. Extraction Vs Expansion Interaction Among Possible Solutions
- 19. Extraction Space
- 20. Growth Modification Vs Camouflage Transverse Maxillary Deficiency Rapid Palatal Expansion Slow Palatal Expansion Implant – Supported Expansion Class II Class III Vertical Problems
- 22. Compromise, Cost – Risk Benefit & Other Considerations Major goals of orthodontics treatment Ideal Occlusion Ideal Facial Esthetics Ideal Stability All problems cannot be solved hence a compromise Tx Plan is made. Benefit Vs Cost and Risk For Example – Orthognathic surgery
- 24. Patient – Parent Consultaion Obtaining Informed Consent Paternalism Vs Autonomy Points for Discussion Patient Interaction
- 25. Reducing Uncertainity in Tx Planning Growth Prediction Outcome Prediction Treatment Response
- 27. Outcome Prediction • Ortho CAD
- 28. Treatment Response Therapeutic Diagnosis Re-evalution during treatment Its necessary to predict outcome and treatment reponse.
- 29. The Detailed Plan Effectiveness in producing Desired Result Efficiency in doing without wasting time
- 30. Proffit – 4th ed
- 31. Triage This process was used in military and emergency medicine. Triage was used to separate causalities by the severity of their injuries The process to distinguish moderate from severe problems.
- 32. Steps in Triage 1. Syndromes and developmental abnormalities 2. Facial disproportions and asymmetries 3. Antero-posterior and vertical problems 4. Excessive dental protrusion or retrusion 5. Problems involving dental development 6. Problems involving crowding & malalignment 7. Other tooth displacements
- 39. Timing of Treatment AGE TREATMENT RECOMMENDED Primary and Mixed dentition stage Preventive and interceptive procedures Preadolescent patients in mixed dentition Growth modulation procedures Young adolescent patients Comprehensive therapy with or without Camouflage Adult patients Orthognathic surgeries
- 41. Macro Esthetics
- 42. Mini Esthetics Vertical Tooth Lip Relationship Transverse Dimension Of Smile Smile Arc Smile Symmetry
- 43. Vertical Tooth Lip Relationship
- 44. Transverse Dimension Of Smile Before Narrow Arch with wide Buccal Corridor After Wide Arch with narrow Buccal corridor
- 45. Width of Maxillary Arch should be proportional width of midface
- 46. Smile Arc
- 49. Special Circumstances Dental Disease Endodontic Periodontic Systemic Disease Arthritis Pregnancy Jaw Injury Maxillary Injuries Anomalies Asymmetric Mandibular Deficiency Hemimandibular Hypertrophy Cleft Lip and Palate Infant Orthopedics Late Primary and Early Mixed Dentition Early Permanent Dentition Orthognathic Surgery
- 50. Infant Orthopedics Naso Alveolar moulding
- 51. Cleft Repair in Children
- 52. References Contemporary Orthodontics : William R. Proffit 5th ed Orthodontics Current Principles and techniques : Graber, Vanarsdal, Vig 3rd ed
- 53. Thank You