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Diagnosis

Let's consider the steps to a successful diagnosis for clear aligner treatment planning.

PATIENT GOALS

What is the patient's chief complaint? • 

  • Is it esthetic? (A "better smile")
  • To improve function or pain relief?
  • To optimize before restorative treatment?
  • Is it some combination of the above? 

What would they like to see as a result of treatment?

 

COLLECT INFORMATION

Consider and collect information from the patient's:

  • Medical/Dental History
  • Intraoral Examination
  • Occlusion
  • Extraoral Examination
  • Clinical Photographs
  • Intraoral Scans or PVS impressions
  • Orthodontic Radiographs

 

ESTABLISH COMPLEXITY

  • Asses the cumulative number of conditions observed in the patient.
  • Considering the patient's goals and objectives for treatment; will their present conditions allow for those goals to be achieved?
  • Consider the predictability of the movements required to address the patient's conditions.
  • Are there any contraindications in their medical history?
  • Is there any unseen pathology?

 

TREATMENT GOALS

  • Based on all the information collected, determine which conditions will be addressed in treatment.
  • Is there a preference for how long the patient wants to be in treatment?
  • Depending on the goals, information, and preferred duration for treatment, select the treatment option most appropriate to achieve the desired outcome.
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