15. Orthodontic Clinical Evaluation Flashcards
(13 cards)
15. Orthodontic Clinical Evaluation
Significance of anamnesis in orthodontic clinical evaluation
- Crucial role in diagnosis=> information about origin and development of malocclusion
- Inheritable nature of orthodontic problems
- Necessary evaluations
- Patient expectations
15. Orthodontic Clinical Evaluation
Specific dentist manner considerations during orthodontic anamnesis
- Calm and professional atmosphere=>gain patient/parents’ trust
- Explicit questions=>uncover discontinued etiological factors contributing to malocclusion
- Confidentiality
- Dental instruments avoided =>patient anxiety
15. Orthodontic Clinical Evaluation
Components of anamnesis
- Identification data=> general demographic information
- History of present malocclusion (anamnesis morbi) =>onset, development, reasons for seeking treatment, previous consultations, and effects of prior treatment.
- History of life (anamnesis vitae) => maternal pregnancy, childbirth, neonatal nutrition, oral habits, and systemic conditions
- Family history => inheritance of orthodontic malocclusions and maxillofacial deformities
15. Orthodontic Clinical Evaluation
How the history of the present malocclusion contributes to diagnosis
- Insight into chief complaint
- Onset, development, reasons for seeking treatment
- Previous orthodontic consultations
- Effects of prior treatment
- Reasons for treatment discontinuation
15. Orthodontic Clinical Evaluation
Information obtained during the history of life section of anamnesis
- Pathological factors contributing to malocclusion=>
- Childbirth complications
- Neonatal nutrition
- Eruption timing of teeth
- Onset of speech
- Oral habits
- Systemic conditions
15. Orthodontic Clinical Evaluation
Why family history important in orthodontic evaluation
- Determines heritability of malocclusions and maxillofacial deformities
- Aids in identifying genetic risk factors=> influence treatment planning and prognosis of treatment results
15. Orthodontic Clinical Evaluation
How the heritability of malocclusions estimated through family history
- Horizontal inheritance pattern=> clinical examination of siblings and cousins
- Vertical inheritance pattern=> examination of parents, grandparents, uncles, and aunts
- Family history provides information about relevant risk factors for treatment planning and prognosis
15. Orthodontic Clinical Evaluation
Aspects covered under the status generalis during orthodontic evaluation
- Physiological condition of patient=>
- Appearance
- Body constitution
- Musculature, posture, and hygiene
15. Orthodontic Clinical Evaluation
Evaluation process for status localis extraoralis in orthodontic examination
- Frontal view=>
* Assess symmetry of face
* Proportionality
* Parallelism of horizontal lines
* Contact between upper and lower lip
* Presence of nasiolabial and supramental folds - Profile view=>
* Evaluate facial profile appearance
* Correlation of points (tip of nose, upper lip, chin prominence)
* Lip step
* Analysis using facial profile photographs
15. Orthodontic Clinical Evaluation
How the face divided for assessment in terms of vertical facial heights
- Upper facial third: Trachion to Nasion.
- Middle third: Nasion to Subnasale.
- Lower third: Subnasale to Gnathion.
According to Schwarz, the lower third is typically 5-10mm higher than the other two.
15. Orthodontic Clinical Evaluation
Parameters evaluated under status localis intraoralis
- Present teeth
- Dentition status (intact or caries-prone)
- Dental arch form
- Symmetry of dental arches
- Tongue size and position
- Periodontal status and oral hygiene
- Oral frenula
15. Orthodontic Clinical Evaluation
How the facial profile assessed in orthodontic evaluation
- Appearance and correlation of points=>
- Tip of the nose, upper lip, and chin prominence
- Categorized as concave (prognathic), straight, or convex (retrognathic)=>
- Based on these correlations
15. Orthodontic Clinical Evaluation
How lip step assessed during orthodontic examination
- Observing relation of upper lip to lower lip
- Positive lip step=> protrusion of lower lip relative to upper lip
- Negative lip step=> marked retrusion of lower lip
