Forms by Bill Arnett
Forms are clinical tools designed for diagnosis and treatment planning. Developed by Dr. Arnett over the course of a career spanning 40 years the forms are organized and lead to excellent outcomes. Generally, the forms examine important traits by topic (TMJ, facial balance, occlusion, medical history, etc.) and then suggest options for correction of abnormalities. As an example, chin recession is revealed by facial examination. The treatment of chin recession is then chosen from a list of potential treatment options including incisor inclination changes, maxillary advancement, mandibular advancement, occlusal plane flattening (both jaws), and finally chin augmentation. In short, forms guide treatment and don’t set a limit for errors.
Description of 6 goals of treatment, 4 treatment options, and the possible resulting complications of improper treatment are listed.
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 patient’s requests for treatment to their teeth, face, TMJ/Muscle, and sleep apnea are revealed to avoid unrealistic patient expectations.
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.
Comprehensive questions related to patient’s disc history, muscle history, joint change history, and past treatments are evaluated.
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.
Key factors which determine CBCT orientation
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