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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