Orthodontics diagnosis

Nine Categories of the Ackermar and Proffit Diagram 1. Alignment (spacing, crowding) 2. Profile (convex, straight, concave 3. Transverse deviation ( crossbites) 1. Sagittal deviation (Angle class) 5. Vertical deviation (deep bite, open bite) 6. Transsagittal deviation (combination of crossbite and Angle class) 7. Sagittovertical deviation (combination of Angle class and deep bite or open bite 8. Verticotransverse deviation (combination of deep bite or open bite with crossbite) 9. Transsagittovertical deviation (combination of problems in three planes of space)

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Facial Form

A. Frontal: - Bilateral Symmetry: - Symmetry - Asymmetry

B. Profile: - Straight - Concave - Convex - Protrusive

1) Maxilla: - Normal - Protrusive - Retrusive

2) Mandible: - Normal - Protrusive - Retrusive

C. Vertical: - Face: - Normal - Short - Long

D. Lips: 1) Together in Centric Occlusion when relaxed 2) Apart in Centric Occlusion when relaxed 3) Gummy Smile

Dentition

A. Stage of Dentition: - Primary - Mixed (Early) - Mixed (Late) - Permanent

B. Number of Erupted Adult Teeth: - Incisors: __U, __L - Canines: __U, __L - Premolars: __U, __L - Molars: __U, __L

C. Periodontal Status: - (All adults must have recent periodontal probings) - Abnormal Frenum - Gingival Recession

D. Endodontics:

E. Restorative Status: - Caries - Prosthetic Restorations

Anteroposterior

A. Angle Classification: - Class I - Class II Division 1 - Class II Division 2 - Class III

B. Molar Relationship: - Right Molar: __ - Right Canine: __ - Left Canine: __ - Left Molar: __ - (Choices: II, SI [Super I], I, E, ml) - Edge to Edge - Anterior Crossbite - Incisor Overjet: __mm

Vertical

A. Posterior Openbite: - __mm

B. Overbite: - __%

C. Anterior Openbite: - __mm

Transverse

A. Dental Midlines to Face: - Upper: __mm - Lower: __mm

B. Posterior Crossbite: - Unilateral - Bilateral

C. Intermolar Width Difference: - __mm

D. Scissors Bite

E. Asymmetry in Dental Arches

F. Functional Shifts on Closure: - Anteroposterior - Transverse

Premature Loss of Deciduous Teeth:

Tooth Size/Arch Size: - Excess Space - Adequate Space - Crowding

Radiographic Analysis: - Supernumerary Teeth - Missing Tooth - Impacted Teeth - Root Resorption - Root Dilaceration - Periapical Pathology - Alveolar Bone Height - Other

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