Diagnosis and treatment planing in orthodontics

Diagnosis and

treatment planning

Problem oriented approach

Patient’s perceptions and doctor’s

observations

Diagnosis

Development of an adequate diagnostic

data base

Formulation of problem list from data

base

Pathologic problems in priority

Developmental problems

Treatment planning

4 important issues

1. The timing of treatment

2. The complex of treatment

3. Predictability

4. Patient’s desire’s

GOLDEN TIME FOR TREATMENT :

Adolescence as the last permanent teeth

are erupting

Sufficient growth remaining

Psychosocial aspects

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

Orthodontic diagnosis : the problem oriented approach

Problem oriented approach

Do Not focuse on one problem

Needs database

1. Interview

2. Clinical examinations

3. Diagnostic records

interview

Goal : patients

chief concern

Obtain information

about:

1. History

2. Physical growth

status

3. motivations

Chief concern

Major reasons for patient’s concerns:

1. Impaired dentofacial appearance

2. Impaired function

3. Impaired oral health

Medical history

Developmental

problems

orthodontic

problems

Condylar fractures

Long-term

medications

Physical growth evaluation

Questions

Bone age from

vertebrae

Hand-wrist RG

THE MOST

ACCURATE : SERIAL

CEPHALOMETRIC

SOCIAL AND BEHAVIORAL

EVALUATION

MOTIVATION

EXTERNAL

INTERNAL

THANK YOU FOR YOUR ATTENTION