Orthotown November 2022 - 50

Fig. 4
Fig. 5
the photos and imports the CBCT images
into the office software program for viewing
during the exam.
Review with doctor: Typically, the
doctor will view the records in his office
between other patients before entering the
room, to assess their diagnostic value and
begin crafting a treatment plan on the run.
Chairside exam diagnosis and treatment
proposal: The doctor introduces himself,
reviews once again the four elements of
the exam with the patient and parent, and
confirms their expectations.
When parents ask why their child is in
an orthodontist's office so early, often the
response is that the teeth are too big for the
jaws. Without getting technical, we explain
that research has shown that most crowding
issues are because of a lack of size inside
the mouth or " smile bones " ; therefore, our
goal is to " make the smile bones match the
jaw bones. "
We often hear: " We don't know, but we
think it's too early for braces. " After adhering
to the following protocol and procedures,
this is hardly ever an issue at the completion
of the evaluation.
Exam protocols and procedures
* A brief clinical exam is performed
with the patient and parent seated
at the conference table (Fig. 4),
including spreading the cheeks apart
to view mucosa, frena attachments
and the " pull " of the musculature.
* The occlusion is categorized and the
opening and closing range of motion
Fig. 6
Fig. 7

Orthotown November 2022

Table of Contents for the Digital Edition of Orthotown November 2022

Orthotown November 2022 - Cover1
Orthotown November 2022 - Cover2
Orthotown November 2022 - 1
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