ORTHODONTICS • Diagnostic examination • • • • • MUDr. Alena Bryšová, Ph.D. [USEMAP] Diagnostic examination •1. ANAMNESIS •a] Family anamnesis • - dental problems of parents • - orthodontic anomalies of parents • - genetic health problems [USEMAP] Diagnostic examination •1. ANAMNESIS •b] health anamnesis of the patient • - medicaments • - allergy • - facial and dental injury • - contagious disease [USEMAP] Diagnostic examination •1. ANAMNESIS •c] special anamnesis of the patient • - frenulectomy • - adenotomy • - habits • - mouth breathing • • [USEMAP] Diagnostic examination •2. CLINICAL EXAMINATION •a] extraoral examination -profile [convex, concave, straight] -face symmetry -temporomandibular joints [USEMAP] Diagnostic examination •2. CLINICAL EXAMINATION •b] intraoral examination • -Status of dentition, caries, fillings -Anomalies of the relationship of dental arches – Angles classification -Overjet, overbite -Status of oral soft tissues, frenulum -Functional examination, centric occlusion -hygiene [USEMAP] Diagnostic examination •3. MODEL EXAMINATION • - space analysis, discrepancy -arch form -dental anatomy -intercuspidation • [USEMAP] Diagnostic examination •4. RADIOGRAPHS • •a] Panoramic -detection of congenital absences of teeth -detection of supernumerary teeth -evaluation of the dental health of the permanent teeth -assessment of trauma to the teeth after injury -determination of dental age of the patient -calculation of root resorption -condyles • • [USEMAP] [USEMAP] [USEMAP] Diagnostic examination • •4. RADIOGRAPHS • •b] Cephalometric radiographs -evaluation of craniofaciodental relationship -assessment of the soft tissue matrix -determination of mandibular position -prediction of growth and development -detection of skeletal age [USEMAP] [USEMAP] ANALÝZA KEFALOMETRICKÉHO SNÍMKU body na TLR.JPG •N - nasion (1) •S – sella (2) •a – articulare (3) •Me – menton (6) •Po – pogonion (7) •SpA – spina nasalis ant. (9) •SpP – spina nasalis post. (10) •A – bod A (11) •Is´- apex horního středního řezáku (12) •Is – incisale superius (13) •Ii – incisale inferius (14) •Ii´- apex dolního řezáku (15) •B – bod B (17) •Go – gonion (kontr. bod: 1. a-4, 2. ML) •Gn – gnation (konstr. bod: 1. N-Po, 2. ML) •ML – mandibulární linie (Me-5) •FOL – funkční okluzální linie [USEMAP] DSC_1033 [USEMAP] skeletal analysis DSC_1035.JPG • • •ANB (-1 až +5 stupňů) • • •WITS (-2 až +2) DSC_1036.JPG [USEMAP] DSC_1030.JPG [USEMAP] Skeletal class I hrudová2.JPG [USEMAP] Skeleal class II • div. 1 with protrusion 2.tř. 1.odd..JPG • div. 2 – with retrusion 2.tř. 2.odd..JPG [USEMAP] Skeletal class III III.sk.tř..JPG [USEMAP] Bimaxilary protrusion oujezská a..jpg anteriorotace.JPG [USEMAP] Diagnostic examination •4. RADIOGRAPHS •c] Other radiographs -Bitewing – caries detection -Hand wrist – detection of skeletal age -Computer tomography –CT scan [impacted tooth, ankylosed tooth, difficult skeletal anomalies -Digital imaging – computer generated model reconstructed from the initial imaging data [USEMAP] [USEMAP] [USEMAP] [USEMAP] [USEMAP] Diagnostic examination •5. PHOTOGRAPHS • - extraoral photographs - frontal • - profile • - smile -Intaoral photographs - frontal teeth • - right and left side • - upper and lower arch [USEMAP] • [USEMAP] [USEMAP] try to diagnose orthodontic anomalies ? [USEMAP] •Case 1- ? [USEMAP] Case 1 Inverted bite Shifted midline Missing 13,23 [USEMAP] Case 2 -? [USEMAP] Case 2 Anterior cross bite 11, 22 Protrusion of 21 Mixed dentition [USEMAP] Case 3 - ? [USEMAP] Case 3 Crowding Shifted midline Vestibular eruption 23 Anterior cross bite 12 [USEMAP] Case 4 -? [USEMAP] Case 4 Deep bite Angle class I Crowding Mesial inclination 12, 21 [USEMAP] Case 5 - ? • [USEMAP] Case 5 Lateral Cross bite Crowding Angle class I [USEMAP] Case 6 - ? [USEMAP] Case 6 Deep bite Angle class I Retrusion 11, 21 [USEMAP] Case 7 - ? • [USEMAP] Case 7 Open bite Angle Class II Protrusion upper incisors [USEMAP] Case 8 - ? • [USEMAP] Case 8 Retention of 13 [USEMAP] Mezialization 47 on the 46 position with minisrew – space closure [USEMAP] Obsah obrázku jídlo, zavřít, zelenina Popis byl vytvořen automaticky Obsah obrázku jídlo, dezert, zavřít, zelenina Popis byl vytvořen automaticky Obsah obrázku interiér, zavřít, kosmetické, oči Popis byl vytvořen automaticky Cleft lip and palate patients [USEMAP] Gummy smile, inclined occlusal plane [USEMAP] Skeletal class II, protrusion upper incisors [USEMAP] Skeletal class II • [USEMAP] Skeletal class III • [USEMAP] Skeletal class III, open bite, inverted bite [USEMAP] Thank You four Your attention Questions – email – alena.brysova@fnusa.cz Consultation – Orthodontic department - St. Anne's Hospital, building D2b – Thursday 1-2 p.m. [USEMAP]