FIXED ORTHODONTIC

TREATMENT PROCEDURES
• ORTHODONTICS PRE TREATMENT

• ORTHODONTICS MAIN TREATMENT

• ORTHODONTICS AFTER TREATMENT

 ORTHODONTIC PRE TREATMENT

Anamnesis Examination Treatment Mouth

Diagnosa
and RECORDS Analysis Plan Preparation
 ANAMNESIS

•Why
•Chief/Main Complaint (s)
•Take Records
PATIENT’s RECORDS

•PERSONAL DATA
•ANAMNESIS RECORD
•Clinical Examination (Extra and Intra Oral)
•Radiography
•Clinical Photography
•Study Model
ORTHODONTIC
PHOTOGRAPHY
 Lip Retractor

Cheek Retractors Camera

Mirror
Twin Flash Ring Flash
Macro Lens
60mm
Smile Line MPD
Lamp.U
Clinical Photography
SUPPORTING
Dental Study
Model
Radiography • Periodontal condition
• Tooth condition (decay, missing,
impacted, abnormalities)
• Sinus
• Bone condition
• Root Parallelism
• TMJ

Panoramic
Radiography
Cephalometric
Occlusal Photo
Cone Beam
Computerized
Tomography
(CBCT)
 ORTHODONTIC PRE TREATMENT

Anamnesis Examination Treatment Mouth

Diagnosa
and RECORDS Analysis Plan Preparation
 EXTRA ORAL
• FACIAL PROFILE
• FACIAL SHAPE
• FACIAL ASYMMETRY

CLINICAL INTRA ORAL

EXAMINATIONS
• MOLAR RELATION
• CANINE RELATION
• MISSING TEETH
• OVER BITE
• OVER JET
• MIDLINE
EXTRA ORAL
 FACE
PROFILES
FACE SHAPES
FACIAL
ASYMMETRY
and SMILE ARCH
INTRA ORAL
 MOLAR
RELATION
(INTERLOCK)
 CANINE
RELATION
(INTERLOCK)
MISSING
TEETH
OVERBITE
AND
OVERJET
MIDLINE
MIDLINE SHIFTING
 CLINICAL
EXAMINATION
SIMPLE MODEL ANALYSIS
TOOTH SIZE vs ARCH LENGTH
DISCRESPANCY
TSD 6 5 4 3 21 1 2 3 4 5 6 = xx mm
ALD 6-5-4 3 2-1 1-2 3 4-5-6 = xx mm
 TSD > ALD = CROWDED
TSD < ALD = DIASTEMA

TSD – ALD > 6mm = Extraction

(Moyers)
CEPHALOMETRIC ANALYSIS
•Downs •Mc Namara
•Tweed •Steiner
•Riedel •Jarabak
•Rickets •Mahony
POINTS :
• S = Sela Tursica, center of the bony
cript known as sella turcica
• N = Nasion, The most anterior point of
the fronto-nasal suture
• Or = Orbitale, Lowest point of N
• Point A = Subspinal, the most concave
S
point of arch on the maxilla between Or
anterior nasal spine and prosthion
• Point B = Supramental, the most
concave point of arch dari of the arch
that formed by infra dental and A
pogonion

Orthosociety
POINTS :
• Po = Porion, Most superior point of
meatus acusticus externus
• Me = Menthon, lowest point of
mandibular symphisis
• Pg = Pogonion, most prominent part of N
the chin
S
• Go = Gonion, point on the gonial angle Or
determined by bisection of the Po
tangent angle
• ISA = Root Apex Point of Maxillary
Central Incisor A
• ISI = Incisal Tip Point of Maxillary
Central Incisor
• IIA = Root Apex Point of Mandibular B
Central Incisor Go
• III = Incisal Tip Point of Mandibular Me Pg
Central Inisor
Orthosociety
SNA
• Shows antero-posterior position
of maxillary jaw related to cranial
base
• Normal value = 82 +/- 2 degree
SNB
• Shows antero-posterior position
of mandibullary jaw related to
cranial base
• Normal value = 80 +/- 2 degree
ANB

•Relative position of the

jaws
•Normal value = 2°
• Class III < 2° < Class II
I - SN

•Upper Incisor axial

inclination to cranial
base
•Normal value = 140°
I - MPA
• Lower Incisor axial inclination
to mandibular plane
• Normal value = 90° +- 4°
 N
S

B
 ORTHODONTIC PRE TREATMENT

Anamnesis Examination Treatment Mouth

Diagnosa
and RECORDS Analysis Plan Preparation
BASIC DIAGNOSIS
DIAGNOSIS EXAMPLE
FACIAL PROFILE CONVEX/CONCAVE/PLANE
SKELETAL CLASSIFICATION CLASS I/CLASS II/CLASS III
DENTAL CLASSIFICATION CLASS I/CLASS II/CLASS III DIV 1/DIV2
OVERJET XX mm
OVERBITE Xx mm / 1 per x
MIDLINE NORMAL / XX mm Shifted to LEFT/RIGHT
FUNCTIONAL PROBLEM AIRWAY/BREATHING/CHEWING/SPEAKING
TMJ ANALYSIS CLICKING/SHIFTING etc
 ORTHODONTIC PRE TREATMENT

Anamnesis Examination Treatment Mouth

Diagnosa
and RECORDS Analysis Plan Preparation
TREATMENT
PLAN
 Global Treatment Plan

1 START WITH TREATMENT GOALS

2 CHOOSE ORTHO SYSTEMS
3 PRESCRIPTION and POSITION
4 APPLIANCES and AUXILLARIES
5 STEPS of TREATMENT SEQUENCE