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  • OLL Orthodontic Record No WM

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    ธนดล ผลผดุง
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    This document contains an initial examination of a patient's oral health, including notes on their chief complaint, oral hygiene, dental health, periodontal status, jaw function, and presence of caries, missing teeth, or impactions. It also includes analyses of the patient's facial profile, smile, cephalometric measurements, dental arch spaces, and occlusal relationships. The diagnosis section outlines the patient's skeletal, dental, esthetic, and sagittal and vertical issues. The treatment plan proposes phases of initial, leveling, pre-retraction, retraction, and finishing work to address the goals of correcting the identified problems.

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    OLL orthodontic record no WM

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    This document contains an initial examination of a patient's oral health, including notes on their chief complaint, oral hygiene, dental health, periodontal status, jaw function, and presence of caries, missing teeth, or impactions. It also includes analyses of the patient's facial profile, smile, cephalometric measurements, dental arch spaces, and occlusal relationships. The diagnosis section outlines the patient's skeletal, dental, esthetic, and sagittal and vertical issues. The treatment plan proposes phases of initial, leveling, pre-retraction, retraction, and finishing work to address the goals of correcting the identified problems.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    11 views7 pages

    OLL Orthodontic Record No WM

    Uploaded by

    ธนดล ผลผดุง
    This document contains an initial examination of a patient's oral health, including notes on their chief complaint, oral hygiene, dental health, periodontal status, jaw function, and presence of caries, missing teeth, or impactions. It also includes analyses of the patient's facial profile, smile, cephalometric measurements, dental arch spaces, and occlusal relationships. The diagnosis section outlines the patient's skeletal, dental, esthetic, and sagittal and vertical issues. The treatment plan proposes phases of initial, leveling, pre-retraction, retraction, and finishing work to address the goals of correcting the identified problems.

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    © All Rights Reserved
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    of 7

    Intra-oral examination

    Initial finding
    Name: …………………………………………………………………………… Oral hygiene: …………………………………………………………………

    Age: ………………………………………………………………………………. Periodontal status – Crown root ratio: ………………………………………….

    Chief complaint: ……………………………………………………………. Dental health: ……………………………………………………………………………….

    Attitude: ………………………………………………………………………… Jaw function and opening pattern: ……………………………………………….

    General health: ……………………………………………………………… Premature contact: ………………………………………………………………………

    Caries – Missing – Impaction – Clinical absence: …………… Records needed: ……………………………………………………………………………


    Vertical Facial analysis
    Normal --- Excessive --- Deficiency

    Symmetry: …Yes…/…No……………………………......

    VME: …….………Yes…/…No……………………………...

    Muscle activity: ……………………………………………...

    Remark: ………………………………………………………….

    Lateral profile analysis


    Straight --- Convex --- Concave

    Lip contour: Normal -- Under – Over

    Nose and Chin projection: …………………………….

    Upper lip to E-Line: ……………………………………….

    Lower lip to E-Line: ……………………………………….

    Lateral Esthetic line evaluation: ……………………...

    Remark: …………………………………………………………..
    Cephalometric analysis

    Standard Cephalometric Pre-Tx

    SNA (82°) **

    SNB (80°) **

    ANB (2°) **

    SN-MP (33°)

    U1 to SN (104°)

    IMPA (90°)

    U1-L1 (133°)

    E-line UL (2-3 mm)

    E-line LL (1-2mm)

    Overjet

    Overbite

    Summary: ……………………………………………………………………………………………………………………………………
    Space - Model analysis
    Upper Objective Lower
    Symmetry
    Arch form
    Crowding
    Tooth present
    Dentition
    Rotation
    Transverse relationship
    Sagittal relationship
    Vertical relationship
    Midlines
    Frenum insertion
    Occlusal curve
    Teeth inclination
    Abnormal tooth shape present
    Esthetic-Smile analysis

    Smile exposure: Buccal arch width:


    …………………………………………………………….…………………… …………………………………………………………….……………………
    Smile line: Tooth shape:
    …………………………………………………………….…………………… …………………………………………………………………….……………
    Inclination of incisor and cuspid: Tooth size:
    ……………………………………………………………………………… ……………………………………………………………………….…………
    Smile arc curvature: Contact area:
    …………………………………………………………….…………………… …………………………………………………………………………………
    Incisor and gingival display: Soft tissue contour:
    …………………………………………………………….…………………… …………………………………………………………….……………………
    Incisal plane – Canting interpupillary line: Hard tissue contour:
    ………………………………………………………………. …………………………………………………………….……………………
    Dental midline and facial midline:
    …………………………………………………………….………………
    Diagnosis
    Name:
    Facial Skeletal Sagittal
    proportion Diagnosis
    Lateral profile Vertical
    Esthetic
    Diagnosis
    Smile exposure Incisor

    Sagittal

    Dental Vertical
    Diagnosis
    Transverse

    Space

    Other
    Diagnostic summary and Treatment plan

    Dx: ………………………………………………………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………………………………………………….

    Treatment goal: …………………………………………………………………………………………………………………


    Initial phase
    Leveling phase
    Pre – Retraction phase
    Retraction phase
    Re – Leveling
    Finishing

    Treatment option: ……………………………………………………………………………………………………………………………….


    …………………………………………………………………………………………………………………………………………………………….
    Expectation: ………………………………………………………………………………………………………………………………………..

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