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SIMPLIFIED MULTISYSTEM INDIVIDUALIZED ORTHODONTIC TREATMENT
POSTULATES
1. use of a total orthodontic treatment philosophy, both in
diagnosis andtreatment planning, with a three-dimensional and
systematic access,methodologically analysed in a transverse,
vertical, sagital and time basis.
2. implementing a personalised service2.1. operation patient
appreciation2.2. operation good looking2.3. operation patient
coordinator
2.4. operation be a star in your office!2.5. operation keep and
maintain good facilities
3. development of a qualified reception of the patients through
a wisemanagement
3.1. management focused on the orthodontic patient3.1.1. respect
for the main complaint/reason for appointment3.1.2. maximum
attention while conducting the patient when:
3.1.2.1.admitted3.1.2.2.conducted3.1.2.3.examined3.1.2.4.studied3.1.2.5.informed3.1.2.6.hold
responsible3.1.2.7.prepared3.1.2.8.placing
devices3.1.2.9.instructed3.1.2.10.motivated3.1.2.11.controlled3.1.2.12.repaired3.1.2.13.compared
3.1.2.14.ended3.1.2.15.retained3.1.2.16.re-evaluated
3.2. management of human resources3.2.1. developing the team
work (team spirit)
3.2.1.1.increase ways of relating one another3.2.1.2.active
participation in all predefined aims3.2.1.3.periodic and planned
meetings of the working team3.2.1.4.continuous assignment and
holding responsibility of tasks
3.2.2. training and continuous education3.2.2.1.say what to
do
3.2.2.2.show how to do it3.2.2.3.perform
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3.2.2.4.evaluate3.2.2.5.delegate or re-direct3.2.2.6.praise
3.3. management towards profitability (controlled
practice)3.3.1. win the professions paradigms
3.3.2. increase marketing techniques (respect for
deontology)3.3.3. standardization, creating written protocols for
every clinical act and
service3.3.4. control the acceptance index3.3.5. Informatics
integrated system according to the treatments
globalphilosophy3.3.6. Permanent statistic control
3.3.6.1.excellent management of
appointments3.3.6.2.3.3.6.3.initial3.3.6.4.informative
3.3.6.5.early data3.3.6.6.appliance3.3.6.7.instruction and
hygiene3.3.6.8.control3.3.6.9.motivation3.3.6.10.repair3.3.6.11.evaluation3.3.6.12.final3.3.6.13.post-retention
4. Implementing excellence in communication
4.1. value target appointments4.2. controlled use of image
4.2.1. permanent offer of image4.2.2. on screen4.2.3.
educational guide4.2.4. internet
4.3. written responsibility of the clinical acts4.4. informed
consent
4.4.1. implementing an orthodontic conversation
4.4.2. periodic reports4.4.3. interprofessional
communication
5. Accepting that the orthodontic normal is individual
5.1. respect for the patients individuality5.2. value the
parental analysis5.3. differentiate between normal deviation and
the pathologic5.4. respect for the shape of the individual dental
arch
5.4.1. anatomical and type determination5.5. cult for the
intercanine distance
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6. The case study starts from the craniofacial analysis to the
facialmorphovolumetric study
6.1. from the outside to the inside and from the whole to the
part6.2. being clinically more conservative within the unfavourable
volumetric
components6.3. being clinically less conservative within the
favourable volumetriccomponents6.4. facial harmony dictates the
clinical orthodontic action
7. Diagnosis according to the severity of the anomaly7.1. the
level of severity and the type of the malocclusion dictate the
complexity of the data needed for diagnosis
8. The analysis of the diagnosis step by step8.1. the main
complaint8.2. the main problem8.3. the aesthetic problem8.4. the
functional problem8.5. the dental problem8.6. the bony problem
9. Speed when elaborating the informatic clinical diagnosis
based on theorthodontic examination
10. Usage of the morphovolumetric facial analysis in the
treatmentsprospective visualization
10.1. reference orthogonal system vertically constructed by
basion
11. Clinical metric multifactorial determination of therapeutic
decisions
11.1. treatment / non-treatment11.2. orthodontic treatment /
multidisciplinary treatment11.3. treatment with extractions /
treatment without extractions
11.4. treatment with interproximal stripping11.5. orthodontic
treatment / surgical orthognatic treatment11.6. phased
treatment
12. Prognosis based on the quantification of the anomaly and
type ofdecided treatment
13. The regulated objectiveness of treatment
13.1. facial aesthetics
13.2. dental aesthetics13.3. functional occlusion
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13.4. periodontal health13.5. stability of the results
14. The treatments systematic planning
14.1. main complaint14.2. main problem14.3. aesthetic
problem14.4. functional problem14.5. dental problem14.6. osseous
problem
15. Early treatment as part of the clinical practice
15.1. posterior cross bite15.2. open bite due to the persistency
of anterior swallowing or succional
habits15.3. severe Class II with large traumatic probability to
the upper anterior teeth15.4. Classes III, mainly in the
retromaxilia cases15.5. anterior cross bite without incisive
guidance15.6. severe crowding when associated to a facial
aesthetics which demands
a non-extraction treatment
16. Multidimensional calculus of the beginning and of the
treatments time
16.1. biological age16.2. dental age16.3. clinical age16.4. type
of anomaly to be treated
17. The application of efficiency systems and mechanical
simplification
17.1. reduce the dependence from the orthodontist17.1.1.less
repairing and urgent consultation17.1.2.less consultations per
treatment17.1.3.bigger time spaces between consultations17.1.4.non
dependent devices of the patients cooperation
17.2. increasing the prevision of results
18. Correction of the malocclusion in a progressive sequence
18.1. the occlusal construction from the ideal three-dimensional
position of themaxillary incisor
18.2. definition of the occlusal aesthetic plane18.3. systematic
relation between the anchorage needs and the segmental
treatment of the arch18.4. control of the upper teeth torque
since the beginning of the treatment18.5. construction of the lower
teeth adaptative torque
19. Rationalizing the retention
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19.1. the meaning of over treatment19.2. using Fibrotomy19.3.
the respect for the mandible intercanine distance19.4. studying the
problem of third molars
19.5. criterious and automatic selection of the retention
devices according tothe treated malocclusion
19.6. estimation of the retention time based on the initial
anomaly19.7. immediate retention after removal of the devices
20. Self-evaluation as a way of encouraging the system
sustainability andlevels of excellence
20.1. evaluating the clinical efficiency20.1.1.short
time20.1.2.long time
20.2. evaluation of profitability
CONTACTS:
Afonso Pinho Ferreira, DDS, PhDFaculty of Dentistry University
of Porto
Rua Dr. Manuel Pereira da Silva4200-393
[email protected]://www.fmd.up.pt
Ortopovoa Clnica de ortodontia da Pvoa de Varzim, Lda.Rua
Visconde de Azevedo, n. 2 R/C4490-589 Povoa de Varzim -
[email protected]://www.ortopovoa.pt
