THE PATIENT
-Previous Dental History
-General Health
EXTRA-ORAL
Skeletal- Antero-posterior – Class I, II or III
-Vertical – proportions lower face to total face height:
-Max-mand plane angle
-Lateral – bony asymmetry
-Soft tissues- Lips - competent/incompetent
-Position of lower lip to upper incisor
-Tongue
INTRA-ORAL
-Oral hygiene
-Teeth present/restorations/caries/poor prognosis
-Horizontal= OJ Incisors AP = lower incisor tip relation to upper incisor
-Vertical = OB as a % coverage lower incisor by upper incisor
-Incomplete/complete
-Lateral = Midlines coincident – if not, why?
-Molars- AP = Angle’s Class I, II or III
-Lateral = Crossbites
-Displacements
-Path of closure
-Muscle attachment/fraenae
RADIOGRAPHIC ASSESSMENT
-Cephalometric analysis
-Teeth absent/present
-Caries
-Pathology
TREATMENT AIMS
-Objective
-Necessity
-Co-operation of patient
-Prognosis – functionally: aesthetically
TREATMENT PLAN
-Extractions
-Appliances