Goals of Treatment
Description of 6 goals of treatment, 4 treatment options, and the possible resulting complications of improper treatment are listed.
Treatment Plan Presentation
Upper jaw, lower jaw, airway, TMJ/muscle, and growth issues are reviewed with the patient. Goal directed treatment is explained.
The general medical history, cardiovascular symptoms, female specific, serious illness, past orthodontic and oral surgery treatments are revealed.
The overbite, overjet, incisor inclinations, c of Spee, arch form, arch width, buccal cusp wear and crowding are assessed. Treatment is then assigned to the surgeon, orthodontist, or prosthodontist based upon goals of treatment.
Head and Neck
Comprehensive questions related to patient’s disc history, muscle history, joint change history, and past treatments are evaluated.
TMJ History and Examination
Clinical and imaging evaluations of the TMJ’s are reviewed. Past and recommended treatments noted.
The patient ‘s obstructive sleep apnea history, symptoms, and treatments are revealed. Airway examination is completed with CBCT, cephalometric airway measurement, and sleep studies.
Frontal examination – midlines, levels, and facial outline are noted. Profile examination - projections and heights are measured. Indicated treatment by the orthodontist, prosthodontist, surgeon, and sleep specialist are assigned.
The patient’s requests for treatment to their teeth, face, TMJ/Muscle, and sleep apnea are revealed to avoid unrealistic patient expectations.
Profile & Frontal Orientation
Key factors which determine CBCT orientation are noted.