2/7/17 - Ortho Notes:

Restorative implants before age of maturity before ortho tx

-less than 1% chance of success

MDA only gives you correct results 3 out of 4 times

Biggest problem for females to mature early

-pregnancy

Boys that mature late biggest problem

-self image

Orthodontic Diagnosis Review - “Yellow sheets”:

The number one reason for pt coming to orthodontist

-CROWDING
-from incisal liability

You must always address chief complaint even if you don’t treat it

You can not put maxillary implants if the axial inclination is ……..messed up
-don’t extract maxillary front teeth on young individuals

Children are in group function before “canine rise occlusion”

-until canines fully erupt

No scientific evidence that balancing interferences are pathologic

Every pt gets a pano around 6-8 yrs

-also 14-16??

More pronounced gonion in males

-rotation of lower jaw to project and comes out
-males need more oxygen for the skeletal muscular system

Fluorosis = hypOmineralized

“Classification of the Face and Occlusion”

4 specific items:
1. Face
A. Soft Tissue face/profile - initial exam
B. Skeletal face/profile - during workup, looking at ceph x-ray ***one we use****
1. Posterior/anterior/non divergent
85-90 = non divergent
 less than 85 = posterior
greater than 90 - anterior
2. Convex, Straight, concave
0-5 = straight
negative number = concave
> 5 = convex
2. Occlusion
Angle Classification (1,2, 3, psuedo, subdivision, etc.)
-of permanent dentition if they have perm molars
-if they don’t have perm molars then you use other descriptors (Salmon)
3. Problem List
-3 most important factors in the diagnosis (listed most severe to least severe)
-i.e. deep bite, open bite, no problems
4. Stage of dentition
A. Primary
B. Transitional (we don’t called it “mixed”)
-early = only a couple perm teeth
-middle transitional = somewhere in between (around 8-9 years of age)
-late = only a couple primary teeth left
C. Permanent

All radiographs are prescriptive

-These are not “routine”

VIII. Orthodontic Treatment Plan and Prognosis

*Objectives list should match tx objectives:

problems: lower incisal crowding

object: improve incisal relationship

problem: Prextract primary molars

object: maintain arch perimeter or space

*Then match tx plan with objective

1. Hawley with a z-spring corrects a anterior cross bite

(Alternative tx plans)
2. maxillary 2 X4 (maxillary brackets for incisors)
3. No treatment
4. Grad ortho/comprehensive ortho
helix corrects posterior cross bite

Describe appointment treatment plans:

1st appointment: case presentation to pt. and/or guardian, maxillary alginate impression
*always the first thing you do
2nd appointment:…..
3rd appointment:

-1 week check on all appliances

-1 month check on all appliances

-passive appliances = every 4 months

-active applicants = every month check

*Writing everything down will help you review it before the pt. gets there to remind you of what
you are doing each appointment

We don’t every use “poor” prognosis

-we use the term “guarded”??

What to do with all the forms?

Pink form = master tx plan, receptionist

white form = goes with models
*white sheet with white models
yellow sheet = goes with your records for you to keep track of