A Clinical Guide to Orthodontics-04

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1、12p683-685.qxd13/11/200311:02Page683PRACTICEINBRIEF●Treatmentplanningisanessentialpartoforthodonticmanagement●Considerthetreatmentaimsfirst,thenthetreatmentplan●Theteethandperiodontiummustbehealthybeforestartingorthodontictreatment●Tohelpensureasuccessfultreatmentoutcometheoralhygieneanddiet

2、mustbegood4●ChoosingthecorrectapplianceisimportantVERIFIABLECPDPAPEROrthodontics.Part4:TreatmentplanningD.Roberts-Harry1andJ.Sandy2Thetreatmentplanisanintegralpartoforthodonticmanagement.Itshouldbedividedintobothtreatmentaims(whatdoyouwanttodo?)andplan(howareyougoingtodoit?).Thetreatmentaims

3、willinclude,forexampleoverjetreduction.Theplanwillconsiderhowtocreatespaceinordertoaccomplishthisaswellastheappliancesystemthatwillbeused.ORTHODONTICS1.Whoneedsorthodontics?TreatmentplanningisthesecondmostRelievecrowding2.PatientassessmentandimportantpartoforthodonticmanagementThedecisiontoe

4、xtractteethneedstobecareful-examinationIfollowingthepatientexamination.Itishelp-lyconsideredanddependsonthedegreeof3.Patientassessmentandfultodividetreatmentplanningintotwosec-crowding,thedifficultyofthecaseandtheexaminationIItions,treatmentaimsandtreatmentplan.degreeofoverbitecorrection.4.T

5、reatmentplanningAlthoughitispossiblethatorthodontictreat-mentcaninfluencetheskeletalformwhenCorrectthebuccalocclusion5.Appliancechoicesgrowth-modifying(functional)appliancesThekeytoupperarchalignmentistogetthe6.Risksinorthodonticareused,ithaslittleeffectonsofttissues,caninesintoaClassIrelati

6、onship(Fig.1).treatmenttoothsizeandarchlength.Rememberthatit7.Factandfantasyinisnotnecessarytotreateverymalocclusionorthodonticsandthebenefitstothepatientshouldbe8.Extractionsincarefullyassessedpriortoundertakinganyorthodonticsorthodontictreatment.9.AnchoragecontrolanddistalmovementTREATMENT

7、AIMS10.ImpactedteethThefollowinglistisnotcomprehensiveandhas11.Orthodontictoothtobetailoredtotheindividualcase.Someofthemovementproblemsthatmayneedtobeaddressedduring12.Combinedorthodontictreatmentare:treatment•Improvedentalhealth•Relievecrowding1*