Diagnostic aids in orthodontics

Orthodontic

study cast Facial and intra-oral photographs Lateral cephalometric radiographs Panoramic radiographs or full mouth periapical radiographs

Orthodontic study cast

They

are accurate plaster reproductions of the teeth and their surrounding soft tissues

Orthodontic study cast

Orthodontic study cast

Uses

of study models:

1.Assist and record dental anatomy 2. Assist and record intercuspation 3. Assist and record arch form 4. Assist and record the curves of occlusion 5. Calculate total space analysis 6. Measure progress during treatment

Orthodontic study cast

Orthodontic study cast

Parts

of study cast

Anatomic portion

Artistic portion

Orthodontic study cast

Orthodontic study cast

Orthodontic study cast

Orthodontic study cast

Orthodontic study cast

Orthodontic study cast

Orthodontic study cast

Orthodontic study cast

Ponts

analysis:

Measurement

of the 4 maxillary incisors automatically establish the width of the arch in the premolar and molar region by using : Calculated premolar value= SI x 100 80 Calculated molar value = SI x 100 64
Measured premolar and molar value is obtained from the distance between distal end of

Orthodontic study cast

Careys

analysis

Is to discover the arch length tooth size discrepancy

Orthodontic study cast

Orthodontic study cast

Bolton
To

Analysis

determine the disproportion between the size of the maxillary and mandibular teeth
Overall ratio= sum of mand12 x 100
sum of max

Overall

Ratio = 91.3%

Anterior ratio= sum of mand6 x

100
sum of max

Orthodontic study cast

mixed

dentiton analysis:

Tanaka and Johnson analysis Moyers mixed dentition analysis

Used to evaluate the amount of space available in the arch for succeeding permanent teeth

Predicted width of canine and premolar By using prediction charts Maxillary= sum of mandibular incisors + 11 2 Mandibular= sum of mandibular

Orthodontic study cast

Unerupted tooth size Erupted tooth on cast X uneurpted

on xray

Erupted on xray

Lateral cephalometric radiographs

Lateral cephalometric radiographs

Uses
1. Study

of cephalometric

of crainofacial growth 2. Diagnosis of craniofacial deformity 3. Treatment planing 4. Evaluation of treated case 5. Study of relapse 6. Medico-legal documentation

Lateral cephalometric radiographs

Lateral cephalometric radiographs

Nasion (Na)

Lateral cephalometric radiographs

Sella (S)

Lateral cephalometric radiographs

Porion (P)

Lateral cephalometric radiographs

Orbitale (Or)

Lateral cephalometric radiographs

Anterior Nasal Spine (ANS)

Lateral cephalometric radiographs

Posteior Nasal Spine (PNS)

Lateral cephalometric radiographs

Subspinale (A)

Lateral cephalometric radiographs

Supramental (B)

Lateral cephalometric radiographs

Gnathion (Gn)

Lateral cephalometric radiographs

Menton (Me)

Lateral cephalometric radiographs

Gonion (Go)

Lateral cephalometric radiographs

Sella nasion plane (SN)

Lateral cephalometric radiographs

Frankfurt horizontal plane (FH)

Lateral cephalometric radiographs

Palatal plane (PP)

Lateral cephalometric radiographs

Mandibular plane (MP)

Lateral cephalometric radiographs

SNA 82O

Lateral cephalometric radiographs

SNB 80O

Lateral cephalometric radiographs

ANB 2O

Lateral cephalometric radiographs

Y axis 59O

Lateral cephalometric radiographs

Mandibular plane angle 32O

Lateral cephalometric radiographs

Inter incisal angle135O

Lateral cephalometric radiographs