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Orthodontic Diagnosis Le diagnostic orthodontique Dr May CHAABAN- Oussama SANDID Orthodontists
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Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Jan 12, 2017

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Page 1: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Orthodontic Diagnosis

Le diagnostic orthodontique

Dr May CHAABAN- Oussama SANDID

Orthodontists

Page 2: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Orthodontic Diagnosis

Le diagnostic orthodontique

1-Clinical Examination- Early treatment- Decision

- Growth Potential Prediction

- X-ray of the wrist

2-Intraoral Examination

-Malocclusion

-Tongue thrust

-Overbite

-Overjet

-- Crowding

-- Anterior and posterior crossbites

-3-Extraoral Examination

--Face

-- Profile

--Lip Competency

-- Smile arc

- Radiography in orthodontics-CBCT, Cephalometric analysis-VTO…

-Orthodontic study model Analyzing, Dental Casts , Measuring crowding, Orthodontic set up…

-Photography in Orthodontics…

-Examination - temporomandibular joint…

Page 3: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Orthodontic diagnosis May CHAABAN- Oussama SANDID

Page 4: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

1- Clinical Examination- First visit

EXAMEN CLINIQUE Première visite

The Patient Interview/ Consultation, Chief Complaint, Medical and dental history,

Growth potentiel prediction

Motif de la consultation, Antécédents medicaux et dentaire, Prediction du potentiel

de croissance

May CHAABAN- Oussama SANDID

Page 5: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Growth Potential Prediction

Prediction du potentiel de croissance

Cephalometric X-ray and cervical vertebral assessment

Stage II-III peak growth, Stage V is at least 2 years post peak

growth,

Orthodontic correction can benefit from rapid growth during

adolescence

May CHAABAN- Oussama SANDID

Page 6: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Growth Potential Prediction

Prediction du potentiel de croissance

X-ray of the wrist

RADIOGRAPHIE DU POIGNET May CHAABAN- Oussama SANDID

Page 7: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

2-Intraoral Examination- malocclusion

CLASSIFICATION DE LA MALOCCLUSION

Malocclusion-Class I-Class II-Class III

May CHAABAN- Oussama SANDID

Page 8: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Intraoral Examination- Oral Health- Tongue thrust

INTERPOSITION LINGUALE

http://www.ineedce.com/

May CHAABAN- Oussama SANDID

Page 9: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Intraoral Examination- Overbite measurement

SUPRACLUISON

http://www.ineedce.com/

May CHAABAN- Oussama SANDID

Page 10: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Intraoral Examination- Overjet measurement

SURPLOMB

http://www.ineedce.com/

May CHAABAN- Oussama SANDID

Page 11: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Intraoral Examination-Total amount of crowding per arch

DYSHARMONIE DENTO-MAXILLO-FACIALE

http://www.ineedce.com/

May CHAABAN- Oussama SANDID

Page 12: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Intraoral Examination- Skeletal deep bite

SUPRACLUSION SQUELETTIQUE

http://www.ineedce.com/

May CHAABAN- Oussama SANDID

Page 13: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Intraoral Examination- Anterior and posterior crossbites

ARTICULE CROISE

http://www.ineedce.com/

May CHAABAN- Oussama SANDID

Page 14: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

3-Extraoral Examination-Face

EXAMEN EXTRAORAL- LA FACE

Facial thirds, Mouth-nose-chin relationship, This patient does not show lower

midline upon smiling

ANALYSE DES PROPORTIONS FACIALES

http://www.ineedce.com/

May CHAABAN- Oussama SANDID

Page 15: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Extraoral Examination- Lip Competency

EXAMEN EXTRA ORAL- COMPETENCE LABIALE

http://www.ineedce.com/

May CHAABAN- Oussama SANDID

Page 16: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Extraoral Examination- Consonant smile arc

EXAMEN EXTRA ORAL – ANALYSE DU SOURIRE

http://www.ineedce.com/

May CHAABAN- Oussama SANDID

Page 17: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Extraoral Examination – Profile

EXAMEN EXTRA ORAL- PROFIL

Bimaxillary dentoalveolar protrusion, Nasolabial angle

http://www.ineedce.com/

May CHAABAN- Oussama SANDID

Page 18: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Orthodontics:

Diagnosis and

Treatment Planning www.orthofree.com

6-Visage harmony

HARMONIE DU VISAGE May CHAABAN- Oussama SANDID

Page 19: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Orthodontics:

Diagnosis and

Treatment Planning www.orthofree.com

Arch form

FORME D’ARCADE

May CHAABAN- Oussama SANDID

Page 20: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Orthodontics:

Diagnosis and

Treatment Planning www.orthofree.com

Face form

FORME DE LA FACE May CHAABAN- Oussama SANDID

Page 21: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Typologie: Brachyfacial- mesofacial- dolichofacial

TYPOLOGIE: BRACHYFACIALE DOLYCHOFACIALE MESOFACIALE

May CHAABAN- Oussama SANDID

Page 22: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Congenitally missing teeth

AGENESIES DENTAIRES May CHAABAN- Oussama SANDID

Page 23: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Supernumerary teeth

DENTS SURNUMERAIRES May CHAABAN- Oussama SANDID

Page 24: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Impacted teeth

DENTS INCLUSES May CHAABAN- Oussama SANDID

Page 25: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Diagnostic Records May CHAABAN- Oussama SANDID

Page 26: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Orthodontics: Diagnosis

DIAGNOSTIC EN ORTHODONTIE

Teleradiography, Radiography in orthodontics, panoramic dental, CBCT, Bitewing X-rays

TELERADIOGRAPHY DE PROFIL PANORAMIC DENTAIRE, CONE BEAM ,RETRO-ALVEOLAIRES

May CHAABAN- Oussama SANDID

Page 27: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Teleradiography

TELERADIOGRAPHY

Orthodontics: Diagnosis

DIAGNOSTIC EN ORTHODONTIE

May CHAABAN- Oussama SANDID

Page 28: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Cephalometric analysis

ANALYSE CEPHALOMETRIQUE

Orthodontics: Diagnosis

DIAGNOSTIC EN ORTHODONTIE

May CHAABAN- Oussama SANDID

Page 29: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Cephalometric - analysis – VTO

VISIUALISATION DES OBJECTIFS DE TRAITEMENT

Orthodontics: Diagnosis

DIAGNOSTIC EN ORTHODONTIE

May CHAABAN- Oussama SANDID

Page 30: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

3-Orthodontic study model Analysing Dental Casts

MODELES D’ETUDES

Orthodontics: Diagnosis DIAGNOSTIC EN ORTHODONTIE

May CHAABAN- Oussama SANDID

Page 31: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Orthodontic set up

Orthodontics: Diagnosis

DIAGNOSTIC EN ORTHODONTIE

May CHAABAN- Oussama SANDID

Page 32: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

4-Photography in Orthodontics

PHOTOGRAPHIES INTRA ET EXTRA ORALE

May CHAABAN- Oussama SANDID

Page 33: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

5-Examination - temporomandibular joint EXAMEN DE L’ARTICULATION TEMPORO-MANDIBULAIRE

May CHAABAN- Oussama SANDID

Page 34: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Lateral Head RadiographRelation of teeth in the jaws, jaws

skull, and soft tissues to the teeth an

Growth prediction in children and tre

prediction in Adults.

Panoramic Radiograph Upper and lower jaws, all teeth and supporting bone, sinuses, jaw

Dr O.

Facial Photographs Symmetry of the face, Smile lines, Lip

petence, Facial muscle habits, texture of the

ips, texture of the cheeks, and stains and

discoloration teeth

Orthodontic Diagnostic Records

LES DOCUMENTS DIAGNOSTIC EN ORTHODONTIE

Frontal Head Radiograph Jaw and bone patterns, asymmetries, nasal

airways, and impactions

O S

Page 35: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

Clinical Examination Teleradiography Panoramic Teleradiography-Face

X-ray of the wrist Study model Set up Temporomandibular joint

DOCUMENTS DIAGNOSTIC EN ORTHODONTIE

Patients Photography-Face- Profil, Intraoral Cephalometric analysis

O SANDID

Page 36: Orthodontic diagnosis-diagnostic-orthododntique-may-chaaban-oussama-sandid-orthodontist

REFERENCES

• 1. ProffitWR, Fields Jr. HW, Sarver DM. Contemporary Orthodontics. 4th ed. St. Louis: Mosby; 2007. Chapter 6.

• 2. Patel A, Burden DJ, Sandler J. Medical disorders and orthodontics. J Orthod. 36:1-21, 2009.

• 3. Grabber TM,Vig KWL,Vanarsdall Jr. RL. Orthodontics: Current Principles and Techniques. 4th ed. Elsevier Health Sciences; 2005. Chapter 1. 4. Ackerman MB. Enhancement Orthodontics, Theory and Practice. 1st ed. Ames: Blackwell Munksgaard; 2007. Chapters

• 3, 4. 5. Moore T, Southard KA, Casko JS, et al. Buccal corridors and smile esthetics. Am J Orthod Dentofac Orthop. 127:208-213, 2005.

• 6. Parekh J, Fields HW, Beck FM, et al. Attractiveness of variations in the smile arc and buccal corridor space as judged by orthodontists and laymen. Angle Orthod. 76:557-563, 2005.

• 7. Okeson JP. Management of Temporomandibular Disorders and Occlusion, ed. St. Louis: Mosby; 2002.

• 8. Atchison KA, Luke LS, White SC. An algorithm for ordering pretreatment orthodontic radiographs. Am J Orthod Dentofac Orthop. 102:29-44, 1992.

• 9. Bolton WA. The clinical application of a tooth-size analysis. Am J Orthod. 48:504-529, 1962. 10. Trpkova B, Prasad NG, Lam EW, et al. Assessment of facial asymmetries from posteroanterior cephalograms:Validity of reference lines. Am J Orthod Dentofac Orthop. 123:512-520, 2003.