A CASE ILLUSTRATING FOR ORTHODONTIC DIAGNOSIS SEQUENCE

L.T.N.K. 24 yrs

DIAGNOSIS SEQUENCE
Questionnaire / interview Clinical evaluation Analysis of diagnostic records Orthodontic classification Development of a problem list

DIAGNOSIS SEQUENCE
Questionnaire / interview Clinical evaluation Analysis of diagnostic records Orthodontic classification Development of a problem list

Questionnaire / interview
Chief complaint:
crooked front teeth protruding lips

Medical & dental history:
good health regular dental care

Physical growth evaluation:
24 yrs, no obvious abnormality

Social & behavioral evaluation:
aesthetic & internal motivation

DIAGNOSIS SEQUENCE
Questionnaire / interview Clinical evaluation Analysis of diagnostic records Orthodontic classification Development of a problem list

Clinical evaluation
Evaluation of oral health Evaluation of jaw & occlusal function Evaluation of facial proportion Evaluation of dental relationship

Evaluation of oral health
Caries: 14, 34, 36, 37, 46 Cervical wear: 13 Tissue irritation & occasional pain: 18, 38, 48

Evaluation of oral health (cont.)
Impacted: 38, 48 Ectopic: 28

Clinical evaluation
Evaluation of oral health Evaluation of jaw & occlusal function Evaluation of facial proportion Evaluation of dental relationship

Evaluation of jaw & occlusal function

Clinical evaluation
Evaluation of oral health Evaluation of jaw & occlusal function Evaluation of facial proportion Evaluation of dental relationship

Evaluation of facial proportion

Clinical evaluation
Evaluation of oral health Evaluation of jaw & occlusal function Evaluation of facial proportion Evaluation of dental relationship

Evaluation of dental relationship

Evaluation of dental relationship

DIAGNOSIS SEQUENCE
Questionnaire / interview Clinical evaluation Analysis of diagnostic records Orthodontic classification Development of a problem list

Analysis of diagnostic records
Cast analysis Cephalometric analysis

Cast analysis

Cephalometric analysis

SUMMARY

DIAGNOSIS SEQUENCE
Questionnaire / interview Clinical evaluation Analysis of diagnostic records Orthodontic classification Development of a problem list

Orthodontic classification
Pathology problems:
Caries: 14, 34, 36, 37, 46 Cervical wear: 13 Tissue irritation & occasional pain: 18, 38, 48 Impacted: 38, 48 Ectopic: 28

Orthodontic problems

Orthodontic problems
Facial proportion & aesthetics: Dental alignment/ symmetry: Transverse relationship:
No problems Convex profile, protruding lips Midline asymmetry

Moderate maxillary, severe mandibular crowding Mild maxillary, moderate madibular arch asymmetry

Anteroposterior relationship: Vertical relationship:

Mandibular deficiency? Skeletal class II Bimaxilary protruded & proclined insisors Severe skeletal/dental deep bite Elongation of maxillary/mandibular insicors

DIAGNOSIS SEQUENCE
Questionnaire / interview Clinical evaluation Analysis of diagnostic records Orthodontic classification Development of a problem list

Problem list
Convex profile, protruding lips, very mild midline asymmetry Moderate maxillary, severe mandibular crowding; mild maxillary, moderate madibular arch asymmetry Skeletal class II; Mandibular deficiency? Severe skeletal/dental deep bite; elongation of maxillary/mandibular insicors

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