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:
Convex profile, protruding lips
Midline asymmetry
„ Dental alignment/ symmetry:
Moderate maxillary, severe mandibular crowding
Mild maxillary, moderate madibular arch asymmetry
„ Transverse relationship:
No problems
„ Anteroposterior relationship:
Skeletal class II Mandibular deficiency?
Bimaxilary protruded & proclined insisors
„ Vertical relationship:
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
THANK YOU FOR YOUR ATTENTION!